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- ItemA comprehensive analysis of apricot drying methods via multi-criteria decision making techniques(Wiley, 2024-10) Abdulvahitoğlu, Aslı; Abdulvahitoğlu, Adnan; Cengiz, Nurten; 382420Food and food safety have been among the most important issues for people throughout history. Societies have always tried to be self-sufficient in food and have avoided becoming dependent on foreign sources. However, the fact that most foods are seasonal and the increasing population's food consumption have revealed the need to preserve foodstuffs for a long time. The old and well-known method used today for extending shelf life is the drying process. The drying process is preferred over other preservation methods for reasons such as being more economical, easier to transport, having a longer shelf life, more concentrated nutritional value, and containing fewer additives. This ensures that dried foods are of higher quality in terms of physical, chemical, microbial properties, and nutritional values compared to other packaged foods. While the drying process was traditionally done over a long period, technological advancements have led to the production of higher quality and more valuable commercial products in a shorter time. In this study, traditional and technological methods used in drying apricots were compared according to the parameters determined by experts in the field. Since multiple parameters are effective in the comparison, Multi-Criteria Decision Making (MCDM) techniques were used. The optimum apricot drying method was determined by combining the results obtained from different MCDM techniques with the Borda rule.
- ItemA Comprehensive Review of Convolutional Neural Networks based Disease Detection Strategies in Potato Agriculture(Springer, 2024-09) Gülmez, Burak; 222298This review paper investigates the utilization of Convolutional Neural Networks (CNNs) for disease detection in potato agriculture, highlighting their pivotal role in efficiently analyzing large-scale agricultural datasets. The datasets used, preprocessing methodologies applied, specific data collection zones, and the efficacy of prominent algorithms like ResNet, VGG, and MobileNet variants for disease classification are scrutinized. Additionally, various hyperparameter optimization techniques such as grid search, random search, genetic algorithms, and Bayesian optimization are examined, and their impact on model performance is assessed. Challenges including dataset scarcity, variability in disease symptoms, and the generalization of models across diverse environmental conditions are addressed in the discussion section. Opportunities for advancing CNN-based disease detection, including the integration of multi-spectral imaging and remote sensing data, and the implementation of federated learning for collaborative model training, are explored. Future directions propose research into robust transfer learning techniques and the deployment of CNNs in real-time monitoring systems for proactive disease management in potato agriculture. Current knowledge is consolidated, research gaps are identified, and avenues for future research in CNN-based disease detection strategies to sustain potato farming effectively are proposed by this review. This study paves the way for future advancements in AI-driven disease detection, potentially revolutionizing agricultural practices and enhancing food security. Also, it aims to guide future research and development efforts in CNN-based disease detection for potato agriculture, potentially leading to improved crop management practices, increased yields, and enhanced food security.
- ItemA modern approach to data privacy with federated learning(Maltepe University, 2023) Kalkavan, Ziya Can; Şahinaslan, Ender; Şahinaslan, Önder; 122635Today, information technologies and their usage areas are increasing day by day. Advanced technologies such as the internet of things, smart devices and applications, machine learning and arti cial intelligence are a driving force in the spread of their usage areas. The increase in prevalence and use also increases the production and sharing of data. This increase causes various security problems and concerns in terms of data privacy. Therefore, a balance has to be struck between the need for data sharing and its security. For this purpose, the use of federated learning methods has been examined. Traditional data sharing methods focus on centralized solutions for the processing of private and sensitive data of data subjects, but this causes various problems and raises concerns in the sharing of sensitive data. In the federated learning model, it trains locally without data sharing. It has a distributed arti cial intelligence approach that can run di erent resources together. Thus, it o ers an alternative solution that can help address data privacy concerns arising from the traditional method. In this study, the basic principles, usage areas, advantages and difficulties of federated learning, which is also accepted as a modern approach in data privacy, are discussed. The data and examples obtained in the study will be presented.
- ItemA novel hybrid MCDM framework combining TOPSIS, PROMETHEE II, and VIKOR for peach drying method selection(Elsevier, 2024-11) Gülmez, Burak; 222298The selection of optimal drying technologies for peach processing presents a complex decision-making challenge due to multiple conflicting criteria. This study introduces a novel hybrid multi-criteria decision-making (MCDM) framework combining TOPSIS, VIKOR, and PROMETHEE II methods to evaluate eight drying technologies. The evaluation was conducted across twelve criteria, encompassing product quality, operational efficiency, economic factors, and environmental impact. Data were collected from five industry experts through structured matrices. The results demonstrate that vacuum drying emerged as the optimal technology, maintaining the top position in 75 % of sensitivity scenarios. Freeze drying and heat pump drying consistently ranked among the top three alternatives across all methods. The correlation analysis revealed strong agreement between VIKOR and PROMETHEE II rankings (0.857), while TOPSIS provided complementary insights. Sensitivity analysis identified energy consumption, investment cost, and nutritional retention as the most critical factors influencing technology selection. The findings indicate that advanced drying technologies significantly outperform traditional methods in terms of overall performance. This research provides a comprehensive framework for evidence-based decision-making in food processing technology selection and establishes quantitative benchmarks for future technology evaluations in the fruit drying industry.
- ItemA simple magnetic resonance scoring system for predicting suitability for primary anterior cruciate ligament repair(Erzincan Binali Yıldırım Üniversitesi, 2024-08) Kılızay, Yusuf Onur; Erdoğmuş Gülcan, Server; Yılmaz, Hazal Berfin; Yalçın, Gülay; 334080; 392815; 202217; 308202Objective: This study developed a simple magnetic resonance imaging (MRI) scoring method to assess the suitability of the anterior cruciate ligament (ACL) remnant for primary repair and aimed to test the success of this scoring method on operative images of patients undergoing early ACL surgery. Methods: The video-recorded operative images of patients who underwent ACL reconstruction and the MRI images of the same patients taken in our hospital were retrieved from the hospital archive. Two surgeons evaluated whether the ACL could be primarily repaired on the video images recorded during the operation. Magnetic resonance primary repairability (MPR) scores and repairability status on video images were compared. Results: The mean age of the patients was 30.4 ± 8.6 years. The evaluation of remnant size on MRI showed moderate agreement between observers (P < .001, Cohen’s kappa = 0.605). The assessment of the repairability score based on MRI and video observation demonstrated substantial agreement between observers (P < .001, Cohen’s kappa = 0.743 and P < .001, Cohen’s kappa = 0.762, respectively). Conclusion: The MR primary repairability score (MPR score) is suitable for use in the decision-making process for the primary repair of the ACL.
- ItemA Symmetry-Based Spherical Fuzzy MCDM Approach for the Strategic Assessment of Alternative Fuels Toward Sustainable Energy Policies(MDPI, 2025-06) Abdulvahitoğlu, Adnan; 382420Alternative fuels obtained from renewable sources, providing low greenhouse gas emissions and high energy efficiency, offer significant advantages in terms of sustainability. In addition, the wide applicability of these fuel types in sectors such as housing, transportation, and industry creates significant opportunities in terms of reducing dependence on fossil fuels. Alternative fuels should be evaluated not only according to their environmental contributions but also based on multi-dimensional criteria such as economic cost, technical suitability, sustainability level, fuel properties, infrastructure requirements, and social acceptance. In this context, a comparative analysis of alternative fuel types in terms of various basic parameters is no longer optional, but a necessity. These parameters generally include symmetrical relationships such as balanced trade-offs between economic and environmental dimensions or mutual effects between technical and social criteria. However, they also show variability and uncertainty depending on the fuel type. Therefore, Spherical Fuzzy Multi-Criteria Decision Making (SF-MCDM) methods, which can effectively represent symmetry in membership and hesitation degrees, have been used to achieve more realistic and reliable results in uncertain decision environments. The proposed model provides a systematic and flexible evaluation structure that helps decision makers determine the most appropriate alternative fuel options and contributes to the formation of sustainable energy policies.
- ItemA theoretical and experimental investigation using a multi-criteria decision-making approach to investigate the use of oak cupule biomass as a sustainable corrosion inhibitor for mild steel in acidic solution(Elsevier, 2025-08) Şişmanoğlu, Sedef; Mert, Mehmet Erman; Doğru Mert, Başak; Abdulvahitoğlu, Adnan; 382420This study investigates adsorption mechanism and inhibition efficiency of oak cupule (OC) biomass on mild steel (MS) corrosion in an acidic medium through quantum chemical calculations and electrochemical analysis. The chemical composition of OC was characterized using FTIR-ATR, mass spectrometry, and UV–Vis spectroscopy. Electrochemical impedance spectroscopy was conducted at varying inhibitor concentrations, complemented by surface morphology analysis via SEM and contact angle measurements after 168 h of immersion. At 250 ppm, the inhibition efficiency reached 92.5 %, attributed to the presence of tannins and polyphenolic compounds. Adsorption followed the Langmuir isotherm, with an equilibrium constant of 2.36 L mg−1 and a Gibbs free energy change of −12.08 kJ mol−1. Contact angle measurements indicated increased hydrophobicity due to the formation of protective layer. Potential of zero charge (PZC) analysis confirmed electrostatic interactions between OC molecules and the positively charged MS surface in 0.5 M HCl. Molecular insights were obtained using Density Functional Theory (DFT) with the B3LYP/6–311++G(d,p) method, revealing electronic properties such as frontier molecular orbital energies, energy gap and atomic charges. The optimum result was determined by analyzing the experimental findings at different inhibitor concentrations and different durations using Multi Criteria Decision Making (MCDM) methods. It was found that scenario S5 provided the optimum result.
- ItemA Zone of Death: Ballardian Necropolitical Sovereignty in Concrete Island(RumeliYa, 2025-07) Özçelik, Kaya; 351393; Yılmaz, YakupThis study focuses on J.G. Ballard’s Concrete Island (1974) through the theoretical lens of necropolitics defined by Achille Mbembe to analyse the abandonment and exclusion of certain lives within the infrastructural settings of late modernity. Centring on the protagonist Robert Maitland, stranded in an abandoned interstice of a London motorway - an island within a hyperfunctioning urban framework, the novel details the bitter struggles of an individual to survive. His descent into an utter physical deterioration and psychological disintegration depicts a necropolitical rationale in which the system of the state and its technological mechanisms determine not only who is entitled to live, but more crucially, who can be permitted to die. In this context, this study posits that the motorway island in the novel portrays a necropolitical zone as an uncontrollable space that partially exists within and outside the urban framework, where normative protections and social acknowledgements are put on hold. It is through this marginalisation that Ballard also criticises the immunitarian structures of neoliberal urbanism. Through this spatial marginalisation, Ballard critiques the immunitarian structures of neoliberal urbanism, which prioritise speed, efficiency, and visibility, while transforming certain bodies and lives into throwaways. Putting Maitland’s ongoing dehumanisation process in front of the eyes of the reader, Ballard illustrates how sophisticated infrastructure leads to a desolate environment with human detritus, reminding the reader of Mbembe’s claim that the ultimate expression of sovereign power is verified in its capacity to determine the individuals who are allowed to continue living and who are not. Building on Roberto Esposito’s immunitary paradigm and urban biopolitical theory, this study explores Ballard’s Concrete Island within the contemporary discussions focusing on urban isolation, social exclusion, and the politics of violence regarding the fast-developing modern world.
- ItemAn examination of the psychological resilience of preschool children with and without Montessori education(Wiley, 2024-08) Sezgin, Elif; Şener, Tülay; 157389This study aims to compare the psychological resilience of children who receive Montessori education with those who do not receive Montessori education(the group attends a school where education is provided according to the Preschool Education Programme of the Ministry of National Education). The study used the Relational Scanning Model Comparison Types to compare the psychological resilience of children who received Montessori education with those who did not. The research involved 99 children aged 3–6 years who received regular preschool and Montessori education during the 2021–2022 academic year. It is reported that no developmental or neurological defects were observed in any of the participants. The study group comprised 50 children aged 3–6 years from a private kindergarten affiliated with National Education in Nilüfer district and 49 children aged 3–6 years from a private Montessori kindergarten in Nilüfer district. According to the study, children who received Montessori education demonstrated comparatively higher levels of psychological resilience than those who did not receive Montessori education. It has been observed that there exists a weak but meaningful correlation between the psychological resilience of children and their social relationships/social performance, particularly in those who have received Montessori education for an extended duration. As a result, it can be inferred that Montessori education positively impacts children's psychological resilience.
- ItemAssessing competition in the Turkish cement industry: insights from the boone indicator(Emerald Publishing Limited, 2024-08) Yıldız, Hakan; Köprücü, Yılmaz; Şengül, Serkan; 355807Purpose – This paper investigates the degree of competitiveness within the Turkish cement industry, employing firm-level quarterly data spanning from 2008 to 2016. Design/methodology/approach – To assess the level and trajectory of competition among Turkish cement firms, we employ the Boone indicator (β) as formulated by Boone (2008). This indicator, rooted in the concept of relative profit differences (RPD), serves as a robust metric for gauging competitive dynamics. According to the ß indicator, firms exhibiting higher relative efficiency are expected to secure greater profits and market shares in a fiercely competitive market. Additionally, we utilize concentration indices for the purpose of revealing comparable findings. Findings – Empirical findings reveal that an enhancement in firms’ efficiency corresponds to a proportionally modest increase in either market share or profits, implying a lower degree of competition within the Turkish cement industry. Although the specific magnitudes of ß estimates exhibit temporal fluctuations, we may conclude that the Turkish cement industry does not conform to the ideals of perfect competition. The concentration indices calculated on the sample also support this result. Research limitations/implications – This research is limited to the Turkish cement companies over the period 2008–2016. Originality/value – The studies measuring the level of competition in the Turkish cement sector are generally based on concentration ratios. In this study, we assess the competition level by using a different methodology based on parametric procedures.
- ItemBibliometric analysis and mapping of the benefits and challenges of cloud ERP systems(İstanbul Üniversitesi, 2023) Şahinaslan, Önder; Şahin, Ahmet; Şahinaslan, Ender; 122635Enterprise resource planning is an effective tool in achieving management goals. Cloud ERP systems and applications are platform-independent offerings of this management tool in a cloud environment. This study was carried out to make sense of the advantages, difficulties and relationships of the cloud ERP system with scientific studies. For this purpose, the Scopus, Web of Science and Google Scholar databases and the Publish or Perish, WOSviewer and Excel applications were used. Statistical analysis, text mining, word network association, visual mapping and trend analysis were performed. As a result of the analysis, it was found that the total rate of publications produced in the last 3 years was 43%, the most cited work was Springer (20%) and the country was the USA (10%). It was determined that the three most frequently used keywords were ‘cloud ERP’, ‘ERP system’ and ‘ERP’. A strong correlation was found between ‘study’ and ‘challenge’ in text mining. The challenge was closely related to ‘SMEs’, ‘data’, ‘provider’, ‘technology’, ‘literature’ and ‘cloud environment’. In recent studies, the concept of ‘cloud ERP implementation’ in SMEs has come to the fore.
- ItemBridging the Education–Employment Gap in Europe: An AI-Driven Approach to Skill Matching(MDPI, 2025-10) Sanguino, Ramón; Çağlarırmak Uslu, Nilgün; Karahan Dursun, Pınar; Özdemir, Caner; Barroso, Ascensión; Sánchez-Hernández, María Isabel; Gaga, Eftade O.; 414023Education–employment mismatch represents a persistent structural issue across Europe, especially among young people. In line with the digital transformation, green transformation and population aging, new jobs are emerging every day, and some of the older jobs are disappearing. However, existing skills of job seekers may not fit these new jobs. This article presents results from the EMLT + AI project, which aimed to explore how artificial intelligence (AI) tools could contribute to reducing such mismatches and supporting inclusive labor market integration. Based on a sample of 1039 participants across European countries, we analyzed the alignment between individuals’ educational background and their current employment, as well as their willingness to reskill. Using binary logistic regression models, the study identifies key factors influencing mismatch and reskilling motivation, including educational level, type of occupation, the presence of meaningful career guidance, and AI-based job search practices. The results indicate that individuals who hold a master’s degree and work in positions requiring at least bachelor’s level degrees are more likely to be matched with jobs that align with their field of study. However, access to mentoring remains limited. The paper concludes by proposing an AI-supported training model integrating career recommendation systems, flexible learning modules, and structured mentoring. These findings provide empirical evidence on how emerging technologies can foster more responsive and adaptive education-to-employment transitions, contributing to policy innovation and the development of inclusive digital labor ecosystems in Europe.
- ItemÇanakkale war propaganda posters evaluation according to graphic design(Livre de Lyon, 2025-11) Ayçe, Mehmet Taragay; Ayçe, Meryem İlayda; 21436; Turan, Ersin; İris, MesutJean Jacques Rousseau once said, “The moment a man fenced a piece of land and said ‘this is mine,’ equality among people was destroyed and wars began.” (Ayhan, 2007). Throughout human history, wars have inevitably affected human life, sometimes causing great destruction and even the complete annihilation of civilizations. With the advancement of technology and its integration into daily life, developments in the field of warfare have resulted in armies becoming more powerful, mobile, and destructive. Alongside technological advancements, political movements and media institutions worldwide have also transformed. Before going to war, countries have had to use media and propaganda as effectively as warfare itself to justify their actions to their own people and to other countries. Indeed, propaganda efforts have often proven to be more effective than military actions. During World War I, European states, seeking colonies and land, engaged in propaganda efforts to justify their actions to the world’s people and gain military support. Prior to and during the Gallipoli Campaign, the propaganda efforts of the British, French, and Australian governments led to groups that had never before confronted each other to unleash death upon one another from opposing trenches. Counter-propaganda efforts during wartime have been employed in many wars since and are still in use today.
- ItemCapital-Labor-Output Nexus in Türkiye's Fisheries Sector: Panel ARDL Analysis(Isparta University of Applied Sciences, 2025-09) Şengül, Serkan; 355807This study analyzes the relationship between production, labor force and capital investments in the fisheries sector in the Marmara, Aegean, Mediterranean, Western Black Sea and Eastern Black Sea regions of Türkiye and examines their effects on sectoral growth and employment. In the study, total fish production, number of employees in the sector and capital investments (number of vessels) variables are used in the panel data analysis covering the period 2006-2023. According to the results of the analysis, the labor force has a positive and significant effect on production, but the effect of capital on production is negative. This shows that capital investments in the Turkish fisheries sector have not been able to provide the expected productivity growth. Moreover, capital investments are found to support employment by increasing labor demand. The long-run cointegration results reveal a strong equilibrium relationship between the variables. This study contributes to the existing research in the literature and provides strategic recommendations for the development of sustainable growth and productivity policies in Türkiye's fisheries sector. In particular, supporting aquaculture activities, modernizing capital investments and taking regional differences into account are critical for the long-term sustainability of the sector.
- ItemComparative Analysis of Different Drying Methods on Strawberry Aroma Compounds via Multi-Criteria Decision-Making Techniques(MDPI, 2025-06) Cengiz, Nurten; Abdulvahitoğlu, Aslı; Abdulvahitoğlu, Adnan; 382420Food and food safety, as one of the basic issues of human life, has made it necessary to store foods for a long time with the increasing population. One of the oldest and most common methods of extending the shelf life of food products is the drying process. The drying process contributes to the higher quality of foods in terms of physical, chemical, and microbial properties by ensuring that beneficial contents such as vitamins, minerals, and aroma compounds are better preserved. The aroma values of foods, which consist of taste and smell components, gain importance. In foods, the taste is determined by permanent components, while smell is determined by volatile components. The loss of volatile aroma compounds in the strawberry drying process negatively affects product quality. Small changes in aroma compounds can lead to significant differences in product taste. Therefore, strawberry aroma is a critical factor for consumer appeal and commercial success. In this study, the effects of drying methods on the aroma compounds of strawberry fruit were compared with Multi Criteria Decision Making (MCDM) techniques. In this study, PSI-based MCDM techniques were used to make the most appropriate choice among strawberry drying methods. The values of 23 distinct aroma compounds obtained with different drying methods applied to strawberry fruit were analyzed with 7 different MCDM techniques. The calculations gave similar results and these results were combined with the Borda rule. Accordingly, the drying methods with the highest scores were determined as freeze drying.
- ItemComparison of Breathing Exercises and Auricular Vagus Nerve Stimulation Effects on Autonomic Nervous System Activity and Respiratory Functions in Healthy Adults: An Active Comparative Controlled Study(Wiley, 2025-12) Yalçın, Gülay; Özden, Ali Veysel; 308202Introduction Vagal modulation is achieved directly by transcutaneous auricular vagus nerve stimulation, whereas breathing exercises stimulate arterial baroreceptors. In this study, we aimed to compare these two methods, which have similar effects. Methods 88 healthy participants aged 18–35 were randomly divided into breathing exercises (Group BE) and vagus stimulation (Group VNS). Thoracic expansion exercise was performed in the BE group. In the VNS group, biphasic electrical stimulation was applied to both ears with a pulse width of 300 ms, a frequency of 10 Hz, and 20 min. Pulmonary function tests were measured on the first and last days. Heart rate, systolic and diastolic blood pressure, RMSSD, PNN50, LF/HF, LF Power, and HF Power values were measured before and after each of the 10 sessions for both groups. Results Heart rate decreased significantly in both groups, with significant superiority in the BE group compared to that in the VNS group. In both groups, blood pressure values decreased significantly. RMSSD, PNN50, and HF values increased significantly in the VNS group, while LF and LF/HF values decreased significantly in the BE group. In pulmonary function test results, the FEV1 value increased significantly in both groups. A significant increase in the FVC value was observed in both groups, but the BE group was superior. The two groups had no significant superiority in the FEV1/FVC value. Conclusion As a result, auricular vagus stimulation seems superior to breathing exercises in increasing the parasympathetic system activity, reducing sympathetic activity, and partially increasing respiratory functions.
- ItemComparison of clinical and radiological results of lateral retinacular release or lateral retinacular lengthening methods combined with medial retinaculum plication in patellofemoral instability(Cureus INC, 2022) Saylık, Murat; Bilgin, Yücel; Atıcı, TeomanIntroduction In this study, we aimed to compare the clinical and radiological results of patients who underwent medial retinaculum plication (MRP) combined with lateral retinacular release (LRR) or lateral retinacular lengthening (LRL) with the diagnosis of patellofemoral (PF) instability. Methods In our study, we retrospectively analyzed 75 knees of 75 adult patients (43 females and 32 males) who underwent MRP+LRR or MRP+LRL due to PF instability without osseous pathologies. Patients were divided into two groups (MRP+LRR and MRP+LRL) according to the surgical method. The clinical and radiological results of the two groups were compared. Results MRP+LRL surgery was performed on 45 knees and MRP+LRR surgery on 30 knees. The mean age was 26.5 (18-43) years. There was no significant difference between the two groups in the change in patellar lateral shift (PLS) (p=0.429) and congruence angle (CA) (p=0.218) values. However, there was a significant difference between the two groups in the change in patellar tilt angle (PTA) (p=0.009) and lateral patellofemoral angle (LPFA) (p<0.001) values. The change in PTA and LPFA values was higher in the MRP+LRL group. There was no significant difference between the two groups in terms of pre-operative and post-operative Lysholm knee scoring scale (p=0.205, p=0.228), Kujala pain scale (p=0.393, p=0.596), and Tegner activity level scale values (p=0.121, p=0.899). Conclusions MRP+LRR or MRP+LRL provided successful results for correcting the instability in PF instability without osseous pathologies such as patella alta, tibial tubercle-trochlear groove (TT-TG) dysplasia, trochlea dysplasia, genu valgus, and tibial-femoral torsion. While PTA and LPFA values improved more with the MRPLRL method, clinical results were similar in both methods.
- ItemComparison of the quality of life of mentally and physically disabled children and their healthy siblings(Hacettepe Üniversitesi, 2024-09) Kavlak, Erdoğan; Erdoğmuş, Server; Kavlak, Ebru; Yalçın, Gülay; 392815; 308202Purpose: It is known that the health-related quality of life of children with neurological problems is adversely affected. But these problems also have a negative impact on the whole family. This study was conducted to examine the quality of life of children with mental and physical disabilities and their healthy siblings. Material and Methods: 82 children with mental and physical disabilities between the ages of 2-18 and their healthy siblings were included in the study. The sociodemographic data of the participants were recorded. The Pediatric Quality of Life Inventory was used to measure health-related quality of life, and the Gross Motor Function Classification System was used to evaluate the gross motor functions of children with disabilities. Results: 82 (48 boys, 34 girls) mentally and physically disabled children with a mean age of 9.87±5.06 years and 82 (34 boys, 48 girls) healthy siblings with a mean age of 12.68±3.65 were included in the study. When the quality of life of mentally and physically disabled children was examined, it was seen that there was no significant difference between the two groups (p>0.05). There was no significant difference between the quality of life of the healthy siblings of mentally and physically disabled children (p>0.05). Discussion: It was observed that the quality of life of healthy siblings of mentally and physically disabled children was similarly affected. It should not be forgotten that the quality of life of their families and healthy siblings will also be adversely affected during the treatment process of disabled children.
- ItemCost Evaluation of Blockchain Technology in the Pharmaceutical Industry(Nova Science Publishers, 2025) Kazak, Gülşah; Erdemir, Namık Kemal; 426535; Esmer, Yusuf; Aytar, OğuzhanManagement of costs expressed as sacrifices incurred for obtaining product/service and ensuring the sustainability of output obtained to set as low a price as possible while deriving profit in the pharmaceutical industry is among the sectors of intense competition important. Cost is an important competitive power for global businesses. Ensuring the production of drugs with the correct composition in the sector considerably raises the costs. The drug development process is expensive and complicated. Any mistake that may occur in the production process will be costly in terms of both money and human life. Besides, drug supply in the sector is a process requiring special transportation and warehousing under suitable conditions, incorporating strict controls, and involving lawful procedures. Acting according to the legislation and laws increases the cost of doing business in the pharmaceutical industry. The need for special equipment and facilities for drug production, the requirement of having specially designed laboratories and production facilities, and most works in the sector requiring highly qualified and trained human force also increase the costs. Moreover, the production of counterfeit drugs in the pharmaceutical market negatively affects the sector in terms of cost. It is stated that the use of digital health infrastructure in the sector has a cost-reducing effect. The use of blockchain technology has been researched in recent years in terms of cost management and other improvements in the pharmaceutical industry and developed by leading companies in the sector. Studies in the literature support the idea that the use of blockchain technology in business processes in the pharmaceutical industry will positively affect costs.
- ItemDetermining the effect of diet quality on nutritional status and type 2 diabetes risk in adult females(Bayrakol Medical Publishing, 2024-10) Uray, Ecem Özge; Batar, Nazlı; Tuna Tuğba; 256218; 336342Aim: This study aimed to determine the effect of diet quality on nutritional status and type 2 diabetes risk in adult females. Material and Method: This study was conducted between January and March 2022 with the participation of 120 adult females who applied to Özel Maltepe Ersoy Hospital, Nutrition, and Diet Polyclinic for body weight control. The researchers recorded participant information form, IPAQ-SF, 24-hour retrospective food consumption record form, and FINDRISK data through face-to-face interviews. NAR and MAR scores were used to determine the diet quality of individuals. Results: It was determined that as body weight, BMI, waist circumference, waist-height ratio, neck circumference, body fat percentage, and fat mass values increased, the diabetes risk scores of individuals increased (p<0.05). It was determined that decreasing lean body mass and percentage increased the risk of diabetes (p<0.05). Biochemical parameters FBG, Insulin, HOMA-IR, TC, LDL-C, and TG values were found to be higher in individuals with high and very high diabetes risk compared to other individuals (p<0.05). It was determined that the risk of diabetes decreased as the physical activity levels of individuals increased (p<0.05). Diabetes risk score, and it was determined that there was no correlation between the biochemical parameters (p>0.05). Discussion: It has been determined that individuals’ anthropometric values, body composition, and physical activity level are important factors in the risk of diabetes. Appropriate health policies should be developed considering this situation.











