Yayınlar
Koleksiyondaki öğeler
- BildiriYalnız künye2018Considerations for professionalism of nursing students in clinical practices
Danaci, Esra; Ozturk, Esma Ayse; Masat, Sevil; Erdogan, Tugba Kavalali; Palazoglu, Cansu Atmaca; Koc, Zeliha
This is a descriptive study that aims to determine the factors affecting the professional behaviour of nursing students in clinical applications. The survey was conducted between 20 September and 20 December 2017 with the participation of 274 students studying in the Nursing Department of Health Sciences Faculty of a University. The data were collected using a questionnaire consisting of 18 questions and Nursing Students Professional Behaviours Scale (NSPBS). The mean age of the nursing students participated in the study was 20.67 +/- 1.88 years and 81.8% of the students were female while 18.2% were male. Of them, 78.5% loved their profession, 60.9% chose their profession willingly, 67.5% did not want to change their profession and 9.5% of them were members of professional associations and followed professional publications. The mean score of NSPBS was determined to be 122 (29-135). Hence, the nursing students' ability to perform professional behaviours was found to be high.
AtıfWoS1
İncele - MakaleAçık Erişim2024Investigation of the relationship between the buildings collapsed in February 6, 2023 Kahramanmaras earthquakes and the soil and analysis of the risk of collapse in earthquakes
Eraslan, Selim; Hatipoglu, Ilter Kutlu; Ocak, Fatih; Isik, Fatih; Zeybek, Halil Ibrahim
In this study, the building-ground relationship in the areas affected by the February 6 Kahramanmaras earthquakes was determined, and the risk of building collapse in future earthquakes was analyzed. Remote sensing techniques determined the collapsed building-soil relationship, and the frequency ratio method was applied by utilizing Geographic Information Systems techniques to assess the risk of collapse in earthquakes. According to the research results, 84% of the collapses occurred in flat areas. On the other hand, 49.7% of the collapses occurred in the 0-500 m elevation range. In particular, it was determined that 46% (110.8 km(2)) of the collapsed buildings occurred on alluvial land belonging to the Quaternary period. According to the earthquake frequency analysis of the total 108,812 km(2) area considered in this study, 43.72% of the area is at the Risky level, indicating that a large part of the region is at significant earthquake risk. Moreover, Hatay, Adana, Osmaniye, Sanliurfa, Kahramanmaras, and Malatya are the provinces where the risk of collapse of buildings in an earthquake is high. These results reveal the necessity of analyzing by considering many criteria in determining residential areas in provinces at risk of earthquakes.
AtıfWoS5OpenAlex8TR Dizin2
İncele - MakaleAçık Erişim2025Structural Existence of a Neighborhood in Terms of Urban Memory: Trabzon Çömlekçi Neighborhood
Saglam, Temel; Aydintan, Erkan; Karakol, Deniztan Ulutas; Yavuz, Zafer; Aydin, Caglar; Fettahoglu, Edanur; Yilmaz, Eyyup; Sadik, Suzan; Basar, Mustafa Can
Urban memory, defined as the accumulation of human experiences within human settlements, is largely shaped around examples of spatial and architectural art. As different cultural environments participate in the formation of urban memory, the accumulation of the settlement also becomes richer. This richness, which carries the traces of civilisations through the ages to the present day, can also be observed in the & Ccedil;& ouml;mlek & ccedil;i Neighbourhood, which forms one of the eastern suburbs of Trabzon and takes its name from the pottery production industry. The neighbourhood is home to cultural layers from the Hellenistic Period Mithra Cult, the Roman and Byzantine Empires, the Komnenos Kingdom, the Ottoman and Republican periods, as well as Catholic Italians, Orthodox Greeks, Mitharist Armenians and Muslim Turks. The neighbourhood's significance extends beyond its multiple cultural layers; as an area of artistic and artisanal production, it makes a significant contribution to the city's budget and vitality. Raising awareness of the neighbourhood is crucial for the integration of fragments of the city's memory. This study compiles new findings added to the existing knowledge about & Ccedil;& ouml;mlek & ccedil;i Mahallesi. The neighbourhood, which bears witness to rich experiences alongside its architectural structure, has been examined in terms of urban memory, centred on the discipline of art history alongside its multiple cultural layers, and studied within a hermeneutic framework that incorporates meaning and interpretation through the criteria of definition, witnessing, surface research, and evaluation.
- MakaleYalnız künye2009Scopus SJRQ1The Effect of Local Injections in Hemiplegic Shoulder Pain A Prospective, Randomized, Controlled Study
Lakse, Emre; Gunduz, Berrin; Erhan, Belgin; Celik, Evrim Coskun
Objective: The aim of this study was to evaluate the effects of corticosteroid injections on hemiplegic shoulder pain and range of motion. Design: Fifty-two stroke patients with shoulder pain were evaluated. Thirty-eight patients who fulfilled the criteria were assigned randomly into either injection or control groups. Transcutaneous electrical nerve stimulation and therapeutic exercise program were applied to both groups for 15 sessions. The patients in the injection group were administered either intra-articular or subacromial injections of corticosteroid and local anesthetic according to their pathology. The evaluations were performed before treatment and at the first and fourth weeks of treatment. Primary follow-up parameters were passive shoulder range of motion and verbal analog scale for shoulder pain; secondary follow-up parameters were modified Barthel index, Brunnstrom upper-extremity score, and modified Ashworth scale. Results: In both groups, shoulder range of motion and shoulder pain scores showed significant improvement. When the two groups were compared, the improvement was more significant in the injection group. Barthel scores improved in both groups, and no difference was found between the groups. Brunnstrom upper-extremity and modified Ashworth scores revealed nonsignificant changes in both groups. Conclusions: Adding corticosteroid injection to conventional treatment in hemiplegic shoulder pain improved shoulder range of motion and decreased pain scores before treatment to the first and fourth weeks of treatment. Injection in hemiplegic shoulder pain is recommended in appropriate patients.
AtıfWoS27OpenAlex29
İncele - MakaleAçık Erişim2022Anxiety, Motivation, Stress Levels and Associated Factors Among University Students in the COVID-19 Pandemic
Sahin, Ceyda Uzun; Aydin, Merve; Kulakaç, Nursen
BACKGROUND/AIMS: The global coronavirus disease (COVID-19) pandemic affects society seriously in terms of psychosocial aspects, but this effect is more intense on some specific population groups. University students are among the most affected population groups by the pandemic. This study was conducted to determine the anxiety, motivation, stress levels, and associated factors among health science students during the COVID-19 pandemic. MATERIALS AND METHODS: The population of this descriptive and cross-sectional study consisted of students studying at health-related departments in three universities in Turkey. The data were collected from 855 students determined by the stratified sampling method using the online survey method. A questionnaire developed by the researchers and the Beck Anxiety Inventory (BAI) were used to collect the data. Percentage, mean, standard deviation, t-test, One-Way ANOVA test, Pearson correlation, and linear regression analysis were performed to evaluate the data. RESULTS: The results revealed that the mean age of the students was 20.85 +/- 2.37 years (min: 18; max: 41), 80.5% were women, 38.0% were nursing students, 13.7% had a family member with the diagnosis of COVID-19. The BAI mean score was found to be 29.00 +/- 7.8. According to the multiple linear regression analysis, the factors affecting students' anxiety scores significantly were being female, impaired sleep and nutrition patterns, decreased motivation, increased stress level and having a family member with the diagnosis of COVID-19. CONCLUSION: Health science students experience severe anxiety due to COVID-19 pandemic and have moderate motivation and stress scores. Being a woman, having impaired sleep and nutrition patterns, reduced motivation, increased stress level and a family member diagnosed with COVID-19 are factors influencing the level of anxiety.
AtıfWoS3OpenAlex12TR Dizin4İncele - MakaleAçık Erişim2023Scopus SJRQ1Oilseed warehouse location selection with an integrated approach: a case of Turkey
Gergin, Ramazan Eyup; Peker, Iskender; Baki, Birdogan; Tuzkaya, Umut Rifat; Tanyas, Mehmet
Purpose Agricultural sector not only meets the nutritional requirements of all living creatures but also generates the primary source of the raw material provided by various branches of industry to fulfill their functions. It is of great importance to increase studies on oilseeds which have an important role in Turkey's agricultural products. They are grown in almost all of the country, which are vital for the nutrition and many sectors. The main purpose of the study is to offer an integrated approach to determine potential warehouse locations for oilseeds. Design/methodology/approach This is the first study that integrates Delphi, analytical hierarchical process (AHP), technique for order preference by similarity to ideal solution (TOPSIS), P-Median and Panel data analysis in a real case. This integrated approach consists of the following steps, respectively: (1) The criteria were determined by the Delphi method. (2) The weights of the criteria were calculated by AHP and the provinces with the highest oilseed warehouse potential in seven regions of Turkey were specified by TOPSIS. (3) Oilseed warehouse numbers and locations were obtained by P-Median. (4) In order to answer whether the distribution network is profitable in the future with the determined center locations, a forecast model based on panel data analysis was created. (5) Regional representatives were determined for 2030, and the distribution network was analyzed again. (6) The costs that arose in 2018 and 2030 were computed and compared by cost analysis. (7) The effect of the change in criteria weights on the alternative results was tested by scenario analysis. Findings The findings indicated that oilseed crop production potential and oilseed crop production area turned out to be the most important criteria. Furthermore, the results showed that this model is robust and suitable for warehouse location selection studies. Practical implications The study can serve as a guide for local and central policy makers with both the criteria it uses and the model it develops. Originality/value The main contribution of this study is that the integrated approach has been used for the first time in location selection in a real case.
AtıfWoS6OpenAlex12İncele - MakaleYalnız künye2022SOME SPECIAL SMARANDACHE RULED SURFACES BY FRENET FRAME IN E3-II
Senyurt, Suleyman; Canli, Davut; Can, Elif; Mazlum, Sumeyye Gur
In this study, firstly Smarandache ruled surfaces whose base curves are Smarandache curves derived from Frenet vectors of the curve, and whose direction vectors are unit vectors plotting Smarandache curves, are created. Then, the Gaussian and mean curvatures of the obtained ruled surfaces are calculated separately, and the conditions to be developable or minimal for the surfaces are given. Finally, the examples are given for each surface and the graphs of these surfaces are drawn.
AtıfWoS5İncele - MakaleAçık Erişim2023Scopus SJRQ3A needful, unique, and in-place evaluation of the injuries in earthquake victims with computed tomography, in catastrophic disasters! The 2023 Turkey-Syria earthquakes: part I
Cakir, Ismet Mirac; Sengul, Ilker; Bekci, Tumay; Tonkaz, Gokhan; Eryuruk, Uluhan; Onder, Ramazan Orkun; Aksoy, Iskender; Bayar, Ayse Elif; Tonkaz, Mehmet; Sengul, Demet
OBJECTIVE: This study was carried out to evaluate the injuries in pediatric earthquake victims due to the 2023 Turkey-Syria earthquakes with computed tomography and determine the anatomotopographic distribution of injuries. METHODS: The material of this retrospective study consisted of the computed tomography findings of 257 pediatric cases injured in the 2023 Turkey-Syria earthquakes, and those were divided into subgroups based on their age group, i.e., 0-4, 5-9, 10-14, and 15-18 years, and the type of injury, i.e., head, maxillofacial, thoracic, abdominal, pelvic, and spinal injuries. RESULTS: Earthquake-related injuries had been detected in 102 (39.6%) patients. Of the 29 patients with multiple injuries, 17, 10, and 2 had injuries in two, three, and four topographic regions, respectively. The most common injury was a head injury, which was detected in 48 (18.7%) cases, followed by thoracic injury, spinal injury, pelvic fracture, abdominal injury, and maxillofacial fracture, which were detected in 40 (15.6%), 22 (8.5%), 19 (7.4%), 10 (3.9%), and 6 (2.3%) patients, respectively. The cranial bone fractures and intracranial injuries were significantly more frequent in the 0-4 years age group compared with other age groups (p=0.028 and p=0.024, respectively). The rib fractures with spinal and pleural injuries were significantly more common in the 15-18 years age group compared with others (p=0.016, p=0.004, and p=0.002, respectively). CONCLUSION: The head injury was the most common earthquake-related injury in pediatric cases. Herein, it was more common in younger children compared with other age groups, whereas rib, spine, and pleural injuries were more common in older children.
AtıfWoS7OpenAlex8İncele - MakaleAçık Erişim2024AN EFFICIENT FAMILY OF RATIO TYPE ESTIMATORS FOR SIMPLE RANDOM SAMPLING
Yadav, Subhash Kumar; Arya, Diksha; Koc, Tuba; Zaman, Tolga
The study provides an enhanced estimation of the population mean using known information on an auxiliary variable. An enhanced class of estimators is suggested for the same. The proposed estimator's bias and mean squared error (MSE) are calculated up to the first order of approximation. The optimum values of the characterizing constants are obtained by minimizing the MSE of the proposed estimator. The minimum MSE and the bias values are achieved by optimising the characterizing scalar. The MSE of the proposed estimator has also been compared both conceptually and empirically with the MSEs of competing estimators. Real and simulated data sets are adopted to verify the theoretical prerequisites for the proposed estimator's greater efficiency over competing estimators. The most efficient estimator is recommended for practical utility in different areas of applications and the suggested estimator filfills the requirement.
AtıfWoS6İncele - MakaleYalnız künye2020Scopus SJRQ4Some physicochemical and microbiological properties of butter produced in Erzurum
Akgül, Halil Ibrahim; Sengül, Mustafa; Ürkek, Bayram; Kotan, Tuba Erkaya; Gürbüz, Zeynep
The goal of this study was to determine some physicochemical and microbiological properties of Erzurum butter. Random samples (n = 30) were collected from different retail markets throughout Erzurum province. The pH, acidity, and melting point values of samples were 3.88, 0.47%, and 30.03 degrees C, respectively. The salt, fat, and moisture values of some samples (sample no 1, 14, and 18) were not harmony with Turkish Food Codex. The highest and lowest peroxide, iodine, saponification, Reichert-Meissl (RM), and Polenske values were found to be in the range of 0-0.51 mEqO2/kg, 22.97-38.64, 195.45-228.54, 17.08-30.-56, and 0.72-1.80, respectively. The refractive index value (RI) was changed from 1.4591 to 1.4620. Total coliforms, aerobic mesophilic bacteria (TAMB), lactic acid bacteria (cultured in MRS and M17), and mould and yeasts mean counts were 1.07 log CFU g-1, 6.79 log CFU g-1, 6.45 log CFU g-1, 6.76 log CFU g-1, and 5.33 log CFU g-1, respectively. There were high differences in physicochemical and microbiological properties of butter might be attributed to a non-standard production process as well as non-standard raw material. In sum, the sanitation and storage conditions should be improved from production to consumption to improve the butter quality.
AtıfWoS1İncele - BildiriAçık Erişim2017THE EFFECT OF THE STRATEGIC MANAGEMENT TOOLS ON SMES' FIRM PERFORMANCE
Bingöl, Dursun; Filizöz, Berrin; Koparan, Emrah; Okan, Tarhan; Çapkulaç, Onur
Growing importance of notions of productivity and efficiency which generates basic focus and domain of firms the attention for strategic management have been increasing. This increasing attention is also resulting in increasing competition and changes in its formation. Markets have switched into regional or international rather than local and national. Firms need to have a strategic point of view and use strategic management tools. The above-mentioned concepts are generally used in big firms. However, small and medium-sized enterprises (SME) have an important role in countries' economies thanks to their contribution to social development and employment. In Turkey, 99% of firms are SME. Regarding the importance of SMEs in the country's economy, this study aims to reveal if owners/managers of SMEs know about strategic management tools, if they know which tools they use, levels of satisfaction with these tools and which tools they plan to use in the future. Additionally, the study seeks priorities of owners/managers when choosing a strategic management tool and effect of level of using these tools on firm performance. (c) 2017 Published by Future Academy www.FutureAcademy.org.uk
AtıfWoS3OpenAlex4İncele - MakaleYalnız künye2005Scopus SJRQ1The protective role of erdosteine on testicular tissue after testicular torsion and detorsion
Koc, A; Narci, A; Duru, M; Gergerlioglu, HS; Akaydin, Y; Sogut, S
Testicular torsion and detorsion are important clinical problems for infertile man and oxidative stress may have a role in this clinical situation. The aim of this study was to investigate the protective role of erdosteine, an antioxidant, on unilateral testicular reperfusion injury in rats. The rats were divided into four groups including seven rats in each group: control, torsion, torsion/detorsion and torsion/detorsion+erdosteine. Rats, except the sham operation group, were subjected to left unilateral torsion (720 degrees rotation in the clockwise direction) without including the epididymis. The experiments were finished after sham operation time for control, 120 min torsion for torsion group and 120 min torsion and 240 min detorsion for torsion/detorsion groups. Bilateral orchiectomy was performed for all groups of rats. The ipsilateral and controlateral testis were divided into two pieces to analyse biochemical parameters and to investigate the light microscopic view. Malondialdehyde level of ipsilateral testis was increased in torsion and torsion/detorsion groups in comparison with the other groups (p < 0.05). Erdosteine treatment ameliorated lipid peroxidation after torsion/detorsion in ipsilateral testis (p < 0.05). Also, xanthine oxidase activity of ipsilateral testis was increased in torsion/detorsion group in comparison with the others (p < 0.05). Nitric oxide (NO) level of ipsilateral testis was higher in all experimental groups than sham operated control group (p < 0.05). Also, NO level of torsion group was increased in comparison with detorsion groups (p < 0.05). Erdosteine treatment caused increased glutathione peroxidase activity in comparison with torsion and torsion/detorsion groups and catalase activity in comparison with the other groups in ipsilateral testis (p < 0.05). Superoxide dismutase activity of ipsilateral testis was higher in torsion/detorsion and torsion/detorsion+erdosteine groups than control and torsion groups (p < 0.05). The biochemical parameters were not affected in controlateral testis in all groups. Torsion, torsion/detorsion and torsion/detorsion+erdosteine groups showed ipsilateral testicular damage in the histological examination, but the specimens from torsion/detorsion had a significantly greater histological injury than those from the other groups (p < 0.05). Control rats showed normal seminiferous tubule morphology. Rats in torsion group had slight-to-moderate disruption of the seminiferous epithelium. Rats in torsion/detorsion group displayed moderate-to-severe disruption of the seminiferous epithelium. In all animals from torsion/detorsion+erdosteine group, the testicular tissues were affected with slight-to-moderate degenerative changes of the seminiferous epithelium. Administration of erdosteine resulted in a significantly reduced histological damage associated with torsion of the spermatic cord compared with torsion/detorsion. In all groups, the contralateral testes were histologically normal. In conclusion, the results clearly displayed that erdosteine treatment may have a protective role on testicular torsion/detorsion injury.
AtıfWoS27OpenAlex34İncele - MakaleAçık Erişim2016Lighter Ingestion as an Uncommon Cause of Severe Vomiting in a Schizophrenia Patient
Atayan, Yahya; Cagin, Yasir Furkan; Erdogan, Mehmet Ali; Bilgic, Yilmaz; Bestas, Remzi; Harputluoglu, Murat; Seckin, Yuksel
Background. Foreign bodies in the gastrointestinal tract are important morbid and mortal clinical conditions. Particularly, emergency treatment is required for cutting and drilling bodies. The majority of ingested foreign bodies (80-90%) leave gastrointestinal tract without creating problems. In 10-20% of cases, intervention is absolutely required. Less than 1% of cases need surgery. In this paper, we present a schizophrenia patient who swallowed multiple lighters. Case. A 21-year-old male schizophrenic patient who uses psychotic drugs presented to the emergency department with the complaints of abdominal pain, severe vomiting, and inability to swallow for a week. His physical examination revealed epigastric tenderness. A plain radiograph of the abdomen revealed multiple tiny metallic densities. Gastroscopy was performed. The lighters were not allowing the passage, and some of them had penetrated the gastric mucosa, and bezoars were observed. One lighter was extracted with the help of the polypectomy snare. Other lighters as a bezoar were removed by surgery. Conclusion. Excessive vomiting of swallowed foreign bodies in the etiology of psychotic patients should be kept in mind. Endoscopic therapy can be performed in the early stages in these patients, but in the late stage surgery is inevitable.
AtıfWoS2OpenAlex2İncele - MakaleYalnız künye2012Scopus SJRQ2Comparison of Multiple Linear Regression and Artificial Neural Network Models Goodness of Fit to Lactation Milk Yields
Takma, Cigdem; Atil, Hulya; Aksakal, Vecihi
In this study, effects of lactation length, calving year and service period on lactation milk yield of Holstein Friesians were modeled with multiple regression and artificial neural networks (ANN) and compared goodness of fit of models. Analyses were carried on five lactations milk yields of 305 Holsteins calved at 2006, 2007 and 2008 years. After several experiments, hidden layer number was taken one and hidden nodes number were found three for the chosen architecture. Moreover, convergence criteria, maximum iteration number and epoch number were taken as 1.10(-6), 50 and 20, respectively. Adjusted coefficient of determination (R-2),root mean square error (RMSE), mean absolute deviation (MAD), mean absolute percentage error performance criteria (MAPE) were used for comparison of artificial neural network and multiple linear regression models goodness of fit. After analysis R-2 values were found among 0.62-0.85 for the five lactations with neural networks model. RMSE, MAD and MAPE criteria also were found among 480.9-1682.8, 325.2-1381.7 and 6.1-20.2, respectively. These criteria were found for R-2, RMSE, MAD and MAPE among 0.30-0.75, 1964.8-30008.7, 1576.6-2458.3 and 24.7-35.6, respectively for multiple linear regression. When the models were compared, artificial neural networks model gave better fit than multiple linear regression models. Consequently, artificial neural networks was determined an alternative method to multiple regression analysis.
AtıfWoS40OpenAlex34İncele - BildiriAçık Erişim2015Comments on Non-Linear Piezoelectric Vibration Energy Harvesting From a Vertical Cantilever Beam with Tip Mass
Ünker, F.; Çuvalci, O.
This paper first points out the retaining higher order terms in the main equation of previous study (PS) of Friswell et al. (Journal of Intelligent Material Systems and Structures 23(13): 1505-1521, 2012). The equations of motion for the system are derived following energy (Lagrange) based approaches and the correct equation with the extra higher order terms is provided and simulations are redone in the current study (CS). (C) 2015 The Authors. Published by Elsevier Ltd.
AtıfWoS1OpenAlex1İncele - BildiriYalnız künye2018Hourly Solar Irradiation Prediction by Artificial Neural Network Based on Similarity Analysis of Time Series
Ulutas, Ahsen; Çakmak, Recep; Altas, Ismail Hakki
Solar energy is a renewable energy source which has intermittent and variable characteristic. Solar irradiation must be predicted in advance in an electrical grid which has solar energy based electrical power generation systems in order to operate the electrical grid stable and efficient. In this study, a multi-layered, feed forward artificial neural network (ANN) has been designed to predict the hourly solar irradiation of next day. The designed ANN has been trained by data which has been obtained via similarity analysis. Total solar irradiation on horizontal plane, relative humidity and temperature data of Trabzon province for 2015-2017 have been used as the training data set. Hourly solar irradiation prediction has been performed by utilizing the designed ANN and test data set. The prediction results have been evaluated as to root mean square (RMS), mean absolute error (MAE) and mean absolute percentage error (MAPE) performance criteria. The obtained performance criteria results show that the proposed ANN could make prediction with acceptable error.
AtıfWoS2İncele - MakaleAçık Erişim2026Scopus SJRQ3Semianalytical Solutions of a Caputo-Fabrizio Fractional Epidemic Model via the q-Kushare Homotopy Transform Method
Alkan, Asli; Anaç, Halil
In this study, an enhanced semianalytical framework is developed for solving nonlinear fractional differential equations involving the Caputo-Fabrizio fractional operator. The proposed Caputo-Fabrizio q-Kushare homotopy analysis transform method (CFq-KHATM) combines the Caputo-Fabrizio derivative, Kushare transform, and q-homotopy analysis within a unified operator-consistent framework. Unlike conventional hybrid approaches, the method preserves the nonsingular exponential memory structure of the Caputo-Fabrizio derivative and provides additional convergence-control flexibility through the auxiliary parameter & hbar; and q-deformation parameter n. To demonstrate its applicability, a Caputo-Fabrizio fractional epidemic model with memory-dependent transmission dynamics is investigated. Numerical simulations for different fractional-order values show that memory effects significantly influence epidemic evolution, infection persistence, and environmental viral dynamics. Furthermore, comparisons with existing methods together with absolute and relative error analyses confirm the accuracy, stability, and convergence efficiency of the proposed framework. The obtained results indicate that CFq-KHATM is a flexible and computationally reliable tool for nonlinear fractional epidemic systems and other memory-dependent dynamical models.
- MakaleYalnız künye2021Scopus SJRQ1Challenges of Setting up a Lower Extremity Reconstruction Practice in a Constrained Environment
Datli, Asli; Karasoy, Ismail; Genc, Yucel; Pilanci, Ozgur
Background Microsurgical lower extremity reconstruction remains challenging, especially when resources are limited such as lack of proper equipment, human resources, administrative support, and located in a remote area far from tertiary care. Nevertheless, reconstructive solutions are required, especially when in urgent trauma situations. In this article, we evaluate ways of overcoming challenges and issues that should be considered in a newly established unit by sharing our initial lower extremity reconstruction experience. Methods We report a local hospital's initial lower extremity reconstruction experience in February 2017 to January 2018. Through a total of seven patients, we tried to enhance the environment, instruments, nurses' contribution, and perspective of the peers and community in terms of factors related to the surgeon, hardware, environment, supporting faculty, reimbursement, and patients. Results Four patients underwent reconstruction with a freestyle propeller flap and three with an anterolateral thigh flap; in one case, a superficial circumflex iliac artery perforator flap was chosen to salvage partial flap necrosis. Increased experience of the surgeon, new equipment, continuing nurse/patient education, and collaborating with other departments allowed us to choose more challenging flaps and be more meticulous while decreasing the operation time and hospital stay. Conclusion To start a lower extremity reconstruction practice in a resource-poor environment, the surgeon needs to evaluate the relevant factors; moreover, he or she should continuously improve them until a working methodology is achieved. Despite all the challenges, the adaptations learned at this center can be applied to other local hospitals around the world to set up a lower extremity reconstruction practice and improve its outcomes.
AtıfWoS4OpenAlex4İncele - MakaleYalnız künye2018TRIP OPTIMIZATION FOR PUBLIC TRANSPORTATION SYSTEMS WITH LINEAR GOAL PROGRAMMING (LGP) METHOD
Tekin, Sezgin; Köfteci, Sevil; Aydin, Metin Mutlu; Yildirim, Mehmet Sinan
Determination of the optimum trip schedules is an important problem for public transportation systems. It is complex task to assign optimum number of vehicles and determine the trip schedules for a public transport systems which consist of many routes. In the case of taking infrequent trip schedules, the existing passenger demand is not satisfied. Therefore waiting times are increased in the bus stops. In contrary, with more frequent intervals, unutilized capacity and higher operational costs are expected. Also, intense traffic density and environmental pollution are associated with the frequent trips. The optimum trip frequencies of the passenger demands varies during the hours of a day and is important for passenger satisfaction and operation efficiency of the system. Trip scheduling and vehicle assignment studies take attention in the current literature assisted with different optimization techniques and artificial intelligence method. In this study, only 10 different bus routes which is operated privately, were considered in the city center of Antalya and the Linear Goal Programming (LGP) was used to determine the optimum number of vehicles operated on the routes. The study results showed that the existing system performance can be preserved by reducing the frequency of specific trips and LGP is stated as an efficient algorithm for determining the optimum trip frequencies and number of vehicles in a public transportation systems.
AtıfWoS7İncele - MakaleAçık Erişim2022The cultural practice of decluttering as household work and its potentials for sustainable consumption
Muster, Viola; Iran, Samira; Muensch, Marlene
Popular literature and guidebooks on minimalism and decluttering have brought the idea of less is more into the mainstream. Although decluttering constitutes a central household chore in consumer societies, it is rarely communicated as work within the current popular minimalism discourse, but rather as an expression of self-care. Whether and to what extent this lifestyle minimalism can contribute to sustainable consumption has - with a few exceptions - not yet been studied in detail. In this article, decluttering is first conceptualized in between housework and self-care. Based on this work, potentials and limits for the promotion of sustainable consumption are outlined. Finally, initial insights from an ongoing citizen science project on decluttering in Germany are presented. The qualitative results from two workshops and two reflection exercises show that the main motivation for participants is the dissatisfaction with their multitude of possessions and the desire for fewer material possessions in the future. The decision to declutter can be understood as a window of opportunity in which individuals are willing to reflect on and realign their possessions and desires for goods. Thus, we argue that decluttering can be a relevant starting point for changing consumption behavior toward (more) sustainable consumption. At the same time, it remains unclear whether and to what extent the participants' willingness to change regarding possessions and consumption actually leads to more sustainable consumption behavior after decluttering. It is even conceivable that the newly gained space will stimulate additional consumption. Decluttering would then rather function as a catalyst for further consumption (and would have no or rather a negative contribution to sustainability goals). Further research is needed to shed light on this.
AtıfWoS8OpenAlex21İncele
