WoS İndeksli Yayınlar Koleksiyonu
Permanent URI for this collectionhttps://hdl.handle.net/20.500.14627/6
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Article Evaluation of Barriers Toward Data-Driven Supply Chain Sustainability Via Single-Valued Pythagorean Piprecia(Amer Inst Mathematical Sciences-AIMS, 2026) Turan, Hakan; Buyukselcuk, Elif CalogluSustainable supply chain management (SSCM) is a holistic approach that encompasses economic, social, and environmental dimensions, enabling firms to enhance their long-term competitiveness by meeting legal requirements and strengthening brand equity. The effective implementation of this approach necessitates a strong emphasis on data-driven decision-making. Accordingly, we aimed to identify the key barriers hindering the implementation of data-driven sustainable supply chain practices and to explore potential strategies to overcome these challenges. In the initial phase of the study, a comprehensive literature review was conducted to identify the major barriers to implementing data-driven sustainable supply chains. Subsequently, the relative importance of these barriers was assessed with input from top and mid-level managers working in manufacturing sector enterprises. The identified barriers were then prioritized using the Pivot Pairwise Relative Criteria Importance Assessment (PIPRECIA) method based on Pythagorean fuzzy numbers. Finally, solution proposals were developed to address the most critical barriers. The study revealed that organizational barriers constitute the most prominent category, representing 29.86% of the total identified obstacles. Closely following are technical barriers, which account for 26.41% and reflect the difficulties associated with implementing and integrating digital technologies. Internal and external environmental barriers are similarly substantial, comprising 25.87% of the total. In comparison, economic barriers make up the smallest share, with a relative weight of 17.86%. The number of researchers analyzing the importance weights of barriers in the context of SSCM 4.0 remains limited. The utilization of a more contemporary and robust method compared to previously applied techniques for determining these weights enhances the originality of this study.Article In Vivo Antioxidant and Anti-Inflammatory Effects of Myrtus Communis Against Ionizing Radiation-Induced Gastrointestinal Injury: Trod-Grog Study(Kare Publishing, 2025) Kilic, Melisa Bagci; Varan, Melike Pekyurek; Atasoy, Ozum; Ozyilmaz, Nagehan; Pazarbasi, Seren Ede; Ertas, Busra; Atasoy, Beste Melek; Ercan, FerihaOBJECTIVE: This study aimed to investigate the in vivo radioprotective effects of Myrtus communis (MC) on the gastrointestinal system. METHODS: A total of 30 female rats were divided into four groups: i) Control; ii) irradiation (IR) only; iii) MC-pretreated; and iv) MC-treated. The rats received oral MC extract (100 mg/kg/day) for 4 days before exposure to 10 Gy IR or continued until sacrifice. On the fourth day of IR exposure, the rats were sacrificed, and histopathological and biochemical analyses were performed on the ileum, pancreas, and liver tissues. RESULTS: Malondialdehyde and myeloperoxidase levels decreased in both MC-treated groups, while glutathione levels and Na+-K+-ATPase activity increased (p<0.01), with significant histopathological improvements compared to the IR-only group. CONCLUSION: The results of this study demonstrate that MC significantly decreases ionizing radiation-induced oxidative and inflammatory damage in the gastrointestinal systems of rats. Therefore, it may be regarded as a new candidate with radioprotective potential for future clinical application.Article Evaluation of Barriers to the Integration of Renewable Energy Technologies into Industries in Türkiye(MDPI, 2026) Caloglu Buyukselcuk, Elif; Turan, HakanThe transition to renewable energy technologies is one of the most important ways to achieve the sustainable development goals (SDGs) of affordable and clean energy (SDG7); industry, innovation and infrastructure (SDG9); responsible production and consumption (SDG12); and climate action (SDG13). The widespread use of renewable energy technologies in developing countries will reduce dependence on imported fossil resources, increase industrial competitiveness, and support low-carbon development. Despite all their advantages, the integration of renewable energy technologies into industrial and domestic systems in developing countries remains slow due to a number of barriers. Financial constraints, technical and technological deficiencies, political restrictions and uncertainties, and organizational and managerial inadequacies are some of the barriers to the widespread adoption of renewable energy technologies. This study aims to identify, classify, and prioritize the barriers to the implementation of renewable energy technologies by applying multi-criteria decision-making methods in a fuzzy environment, with T & uuml;rkiye considered as a case study. The relative importance of the barriers identified using the Single-Valued Spherical Fuzzy SWARA method was assessed, and their interconnections and significance were systematically demonstrated. The findings will contribute to the development of policy and management strategies aligned with global sustainability goals, thereby facilitating a more effective and equitable transition to clean and resilient energy systems.Article Peloid Therapy Versus Hot Pack Treatment in Patients With Chronic Low Back Pain: Effects on Pain, Function, and Quality of Life(Romanian Assoc Balneology, 2025) Akkurt, Burcu; Alptekin, Hasan Kerem; Aydin, TeomanThis study aimed to compare the efficacy of peloid and hotpack for chronic low back pain (CLBP) due to lumbar disc herniation (LDH). Sixty individuals aged 18-50 years with CLBP due to LDH were randomized into two groups: peloid therapy (n=30) and hot pack therapy (n=30). Treatments were applied five days a week for 15 sessions, and all partici-pants received 20 minutes of lumbar TENS per session. Evaluations were conducted before and after treatment, including pain (VAS), Back Pain Functional Scale (BPFS), Oswestry Disability Index (ODI), quality of life (SF-36), range of motion, and finger-floor distance (FFD). Peloid group showed significant improvements in BPFS, physical functioning, role limitations due to emotional problems, vitality, emotional well-being, pain, and general health compared to the hot pack group (p<0.05). Both groups showed significant reducti-ons in VAS, ODI and FFD scores (p<0.05), with no significant between-group differences (p>0.05). In conclusion, while both treatments were effective in reducing pain and disabili-ty, peloid therapy provided superior improvements in functional status and quality of life compared to hot pack therapy.Article Assessment of Artificial Lighting Conditions in Sunlight-Deprived Classrooms(Gazi Univ, Fac Engineering Architecture, 2025) Duyan, Fazila; Kaplan, ElifNumerous studies on classroom lighting emphasize a close and significant relationship between students' concentration, comprehension of course content, and the efficiency of activities such as drawing, writing, and practices, with the lighting conditions. In this context, it is particularly important to properly design both the physical and psychological effects of artificial lighting, especially in sunlight-deprived classrooms. This study examines the artificial lighting conditions of a classroom located in the basement of a university building, which has no visual connection to the outdoors. The classroom is utilized by students from the departments of Architecture, Interior Architecture, and Industrial Design. The study investigates the effects of current artificial lighting on students, focusing on aspects such as visual perception satisfaction, light colour, illuminance level, glare, and the temporal light modulation effect. To assess students' perception of the existing lighting conditions, an online questionnaire was administered, and a total of 104 students (65 female, 39 male) who had previous experience with the classroom participated in the study. Technical measurements of the existing luminaires were conducted, and the classroom was digitally modelled using the DIALux Evo lighting software. The collected data were analysed using the SPSS statistical analysis program. The findings of the study indicate that students perceived the artificial lighting conditions as inadequate in terms of visual comfort. Moreover, based on technical measurements, simulations, and user evaluations, it was determined that the existing luminaires caused glare and temporal light modulation effects, negatively affecting the classroom environment.Article Myrtus Communis Ameliorates Ionizing Radiation-Induced Cardiopulmonary Injury in Rats: Trod-Grog Study(Keai Publishing Ltd, 2026) Aytekin, Aynur; Isci, Oguzhan; Ozyilmaz, Nagehan; Karaoglu, Sumeyye Yilmaz; Ertas, Busra; Sen, Ali; Atasoy, Beste Melek; Yılmaz Karaoğlu, SümeyyeObjectives: Ionizing radiation (IR), widely used in diagnostic and therapeutic procedures, can damage vital organs such as the heart and lungs through oxidative stress. This study aims to assess the potential radioprotective effect of Myrtus communis (MC) against cardiopulmonary injury. Methods: Thirty female rats were divided into four groups. Control (C) and IR (R) groups received oral saline. The treatment (R+MC) and pretreatment (R+preMC) groups received MC (100 mg/kg) for 4 days (starting on the day of IR) and 8 days (starting 4 days before IR), respectively. All IR-exposed groups (R, R+MC, R+preMC) received a single 10 Gy whole-body irradiation. Histopathological changes were assessed by hematoxylin-eosin staining, while oxidative stress was evaluated by measuring malondialdehyde (MDA), glutathione (GSH), myeloperoxidase (MPO), nitric oxide (NO), superoxide dismutase (SOD), glutathione S-transferase (GST), and tissue factor activity (TFa) levels. Protein profiles in tissues were analyzed by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE). Results: Histopathologically, MC reduced alveolar and cardiomyocyte damage in both R+MC and R+preMC groups. IR increased all oxidative stress markers and decreased antioxidant parameters in heart and lung tissues (p < 0.05-0.001). Both MC treatment and pretreatment reversed these effects, significantly reducing oxidative/inflammatory markers and restoring antioxidant enzyme activities (p < 0.05-0.001). The R+preMC group demonstrated a stronger protective effect than the R+MC group. Conclusion: Our study shows that MC has a radioprotective effect on the cardiopulmonary system by decreasing oxidative damage. MC appears to be a promising natural compound for advanced radioprotection research, and further molecular and clinical studies could clarify its mechanisms and potential applications<bold>.</bold>Article Implementation of the Homeostasis-Enrichment (Hep®) Approach for an Infant at Risk for Autism Spectrum Disorder: A Case Report(Necmettin Erbakan Univ, Fac Medicine-Neu Press, 2025) Balikci, Aymen; Balikci, Ayse Firdevs Aracikul; Demirbag, Izgi Miray; Sirma, Gamze Cagla; Beaudry-Bellefeuille, Isabelle; May-Benson, Teresa A.Background and Clinical Significance: This case report explicates the implementation and outcomes of the Homeostasis-Enrichment-Plasticity (HEP (R)) Approach in a 10-month-old male infant with an increased risk of Autism Spectrum Disorder (ASD) who exhibited challenges in sensory functioning and motor development. Case Presentation: The intervention was carried out utilizing the eleven-step HEP (R) Approach process. The Peabody Developmental Motor Scale-2 (PDMS-2), Test of Sensory Function in Infants (TSFI), Adaptive Behavior Assessment System-3 (ABAS-3), and Goal Attainment Scale (GAS) were used as outcome measures before and after the intervention. A pediatric physical therapist conducted an hour-long intervention weekly for 10 weeks using the HEP (R) Approach implementation guide. Post-intervention, the infant's fine and gross motor skill scores in the PDMS-2 and General Adaptive Composite in the ABAS-3 exhibited significant improvement, as determined by the 95% confidence interval overlap analysis. The TSFI total score also improved categorically. An overall GAS score of +1.6 corresponded to a t-score of 74.12, indicating significant progress towards the individualized intervention goals. Conclusions: The HEP (R) Approach enhanced motor development, sensory functioning, general adaptive skills, and parental goals in a 10-month-old infant at risk for ASD. The results support further examination of the HEP approach's effectiveness in infants at risk for ASD.Article A Novel Acoustic Source Localization Technique for Edge AI Applications: A Lightweight Framework and Implementation for IoT and Smart Sensing Devices(Istanbul University, 2025) Yarkan, S.This paper presents a novel and computationally efficient three-point signal estimation method for acoustic direction finding, designed specifically for low-cost embedded platforms. The proposed approach offers a lightweight alternative to traditional cross-correlation techniques by minimizing computational complexity while preserving high angular resolution. The method was implemented and tested on an STM32F429 microcontroller using a pair of MAX4466 electret microphones arranged on a fixed baseline. The system architecture leverages bare-metal signal processing routines optimized with Acorn RISC Machine Cortex. Microcontroller Software Interface Standard (ARM CMSIS-DSP) libraries, enabling real-time performance on resource-constrained hardware. Extensive experiments were conducted to evaluate the angular estimation accuracy under varying signal-tonoise ratios and source orientations. Results show that the system maintains sub-degree mean square error for source angles up to 30°, with noticeable performance degradation observed at 40° due to the directional response characteristics of the microphone elements. A comprehensive explanation is provided linking this degradation to reduced microphone sensitivity at wider angles of incidence. The proposed solution is ideal for applications requiring embedded acoustic localization, including smart interfaces, vehicular monitoring, and surveillance systems. In addition, the paper discusses the implications of deploying such systems in artificial intelligence (AI)-enabled and security-critical environments, highlighting emerging threats such as adversarial acoustic interference and spoofing attacks. These challenges underscore the importance of resilient and efficient DF methods that can operate reliably within the constraints of embedded systems. The presented work lays the foundation for future research in secure, scalable, and AI-compatible acoustic sensing platforms. © 2025 Elsevier B.V., All rights reserved.Article Emergency Department Nurses' Knowledge and Practices Related To Extravasation Injuries of Non-Cytotoxic Medications(Turkish Assoc Trauma Emergency Surgery, 2025) Kugu, Emre; Akyuz, NurayBACKGROUND: Extravasation of non-cytotoxic medications can lead to serious complications such as pain, tissue necrosis, limb loss, and even death. This descriptive cross-sectional study aims to assess the knowledge levels of emergency department (ED) nurses regarding extravasation incidents involving non-cytotoxic medications and to highlight the importance of effective management and prevention. METHODS: The study was conducted in the EDs of three hospitals in Istanbul, T & uuml;rkiye, between November 19, 2020 and December 31, 2020. A total of 100 ED nurses participated in the study. Inclusion criteria required nurses to be working full-time in the EDs during the study period and to provide written and verbal consent. The study utilized a survey to assess sociodemographic characteristics, knowledge of non-cytotoxic medications (e.g., epinephrine), symptoms of extravasation, prevention strategies, and intervention practices. RESULTS: The mean age of the nurses was 29.43 years, with 57% female and 73% holding a bachelor's degree. Among participants, 52% had 0-3 years of ED experience. Ninety-one percent reported not receiving education on extravasation after graduation, and 82% indicated no extravasation protocol was in place at their workplace. Knowledge about non-cytotoxic medications causing extravasation significantly increased with ED experience (p=0.035). Nurses in units with an extravasation protocol had significantly higher knowledge levels (p=0.007). Female nurses demonstrated better knowledge of extravasation symptoms than male nurses (p=0.012). Nurses with a bachelor's or higher degree had significantly better knowledge than others (p=0.015). The knowledge rate for the extravasation care protocol was 64%, with the most recognized protocol item being "immediately stop the infusion" (97%) and the least recognized being "aspirate the medication not to exceed 3-5 mL" (33%). Strong correlations were found between non-pharmacological factors and knowledge of non-cytotoxic medications (r=0.601; p<0.001), as well as between knowledge of extravasation care protocols and non-pharmacological factors (p<0.001). CONCLUSION: The study highlights the need for targeted education and the establishment of institutional protocols for managing and preventing extravasation in EDs. Nurses' knowledge significantly impacts their adherence to prevention and care protocols. To ensure patient safety, it is important to provide ongoing education and implement evidence-based intervention protocols for the management of extravasation in ED settings.Article Measuring Shoulder Abduction Strength Using 2 Different Dynamometers: Comprehensive Intrarater and Interrater Reliability and Validity(Turkish Assoc Orthopaedics Traumatology, 2025) Atli, Ecenur; Topaloglu, Mahir; Hosbay, Zeynep; Ozdincler, Arzu RazakObjective: The purpose of this study is to investigate the intrarater and interrater reliability of handheld dynamometer (HHD) measurements in assessing isometric muscle strength of the shoulder abductors and to compare these results with those obtained using a fixed dynamometer (FD). Methods: The study involved 25 voluntary participants, all over the age of 18, asymptomatic (with no injuries in the upper extremity), and not engaged in overhead sports. The participants were evaluated twice by 2 different testers who were experienced in orthopedic rehabilitation, at 90 degrees of shoulder abduction in the scapular plane. On the first measurement day, Tester 1 performed measurements using both HHD and FD, while on the second measurement day, both testers used only the HHD. A 3-to 7-day interval separated the 2 measurement sessions. Paired-samples t-tests were used to evaluate the systematic bias between the testers. Spearman's rank correlation coefficient, intraclass correlation coefficient, standard error of measurement, and minimal detectable change were calculated. The statistical significance level was accepted as P < .05. Results: Data from 22 participants (15 women, 7 men; mean age: 23.00 +/- 3.19 years) were analyzed, as 3 individuals did not attend the final assessment. A strong correlation (r = 0.772) was found between Tester 1's HHD measurements and FD, while a similarly strong correlation (r = 0.748) was observed for Tester 2's HHD measurements. Excellent intrarater reliability (intraclass correlation coefficient [ICC]= 0.941) was found between Tester 1's measurements, and excellent interrater reliability (ICC= 0.889) was found between testers. Conclusion: Handheld dynamometer has demonstrated excellent interrater and intrarater reliability and high validity for assessing shoulder abductor muscle strength in research and clinical use. Since the muscle strength of testers using the HHD may influence the results, the FD may be a more appropriate option when the study population is stronger than the testers. Studies involving different clinical populations and testers with varying experience levels are needed to improve the relevance of the results. Level of Evidence: Level III, Diagnostic Study.