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Üniversite öğrencilerinin beslenme durumunun, akdeniz diyet kalite indeksinin ve gıda beslenme okuryazarlığının araştırılması
Get PDFBu çalışmanın amacı, Gaziantep Hasan Kalyoncu Üniversitesinde öğrenim görmekte olan öğrencilerin beslenme durumlarını, Akdeniz diyetine uyum ve gıda beslenme okuryazarlığı durumlarını araştırmak, bu parametreler arasındaki ilişkileri incelemek ve öğrencilerde bu konularda farkındalık oluşturmaktır. Araştırma, Hasan Kalyoncu Üniversitesi'nde eğitim gören rastgele seçilen %44,8'i erkek ve %55,2'si kadın olmak üzere 210 gönüllü üniversite öğrencisi ile yapılmıştır. Yüz yüze uygulanan soru kağıdı ile öğrencilerden genel bilgileri, beslenme alışkanlıkları, antropometrik ölçümleri (boy uzunluğu, vücut ağırlığı), fiziksel aktivite yapma durumları, 24 saatlik besin tüketim kaydı alınmıştır. Ayrıca Akdeniz Diyeti Kalite İndeksi (KIDMED) ve Gıda Beslenme Okuryazarlığı Ölçeği (GBOY) uygulanmıştır. Öğrencilerin yaş ortalaması 21,35±1,86 yıldır. Beden kütle indeksi (BKİ) erkeklerde 24.81±3.68 kg/m², kadınlarda ise 21.96±3.48 kg/m²'dir (p<0.05). Öğrencilerin %65,2'si normal BKİ'ye (≥18.5-<24,9 kg/m²) sahiptir. Erkek öğrencilerin %58,6'sı kadın öğrencilerin %84,5'i sigara içmemektedir. Ortalama Fiziksel Aktivite Düzeyi (PAL) değeri 1.81±.26 olup, öğrencilerin %37.7'si hafif, %37.6'sı orta aktivite düzeyindedir. Erkek öğrenciler protein, niasin, B12, fosfor ve iyot dışındaki besin öğeleri ile enerji gereksinmelerini karşılayamamaktadır. Kadın öğrenciler ise, niasin ve fosfor gereksinmelerini karşılamış, enerji ve diğer besin ögesi gereksinmelerini karşılayamamıştır. Öğrenciler arasında Akdeniz diyetine uyumu düşük, orta ve iyi olanların oranı sırasıyla %33.3, %54.3 ve %12.4' dür. Öğrencilerin %52,9'unun GBOY bilgi düzeyi yetersiz, %40.0'ının GBOY tutum düzeyi yetersiz, %45,2'sinin GBOY davranış düzeyi sınırlıdır. Öğrencilerin Akdeniz diyetine uyum düzeyleri arttıkça gıda beslenme okuryazarlığı tutum ve davranış düzeyleri de anlamlı şekilde artmaktadır. (p<0.05). Öğrenciler sağlıklı beslenme ve beslenme sağlık etkileşimleri konusunda eğitilerek bilinçlendirilmeli, sağlıklı beslenme davranışları edinmeleri sağlanmalıdır.The aim of this study is to investigate the nutritional status, adherence to the Mediterranean diet and food nutrition literacy of students studying at Gaziantep Hasan Kalyoncu University, to examine the relationships between these parameters and to build awareness among students regarding these aspects. The research was conducted with 210 randomly selected volunteer university students, 44.8% male and 55.2% female, studying at Hasan Kalyoncu University. With the face-to-face questionnaire, general information, eating habits, anthropometric measurements (height, body weight, physical activity status, 24-hour food consumption record) were obtained from the students. Additionally, Mediterranean Diet Quality Index (KIDMED) and Food Nutrition Literacy Scale (GBOY) were gathered. The average age of the students is 21.35±1.86 years. Body mass index (BMI) is 24.81±3.68 kg/m² in men and 21.96±3.48 kg/m² in women (p<0.05). 65.2% of the students, 58.6% of male students and 84.5% of female students do not smoke. Average Physical Activity Level (PAL) value is 1.81±.26. 37.7% of the students are engaged in light activity level and 37.6% are in medium activity. Male students cannot meet their energy needs with nutrients other than protein, niacin, B12, phosphorus and iodine. Female students, on the other hand, meet their niacin and phosphorus needs and cannot meet their energy and other nutritional needs. The rates of students with low, moderate and good compliance with the Mediterranean diet are 33.3%, 54.3% and 12.4%, respectively. 52.9% of the students have insufficient GBOY knowledge level, 40.0% have insufficient GBOY attitude level, and 45.2% have limited GBOY behavior level. As students' adherence levels to the Mediterranean diet increase, their food nutrition literacy attitude and behavior levels also increase significantly (p<0.05). Students should be educated and their awareness levels of healthy nutrition and nutrition-health interactions should be improved, and they should be encouraged to acquire healthy nutrition behaviors
The advancement of waterjet-guided laser cutting system for enhanced surface quality in AISI 1020 steel sheets
Get PDFThis study investigates the effects of a water-guided laser on the cutting performance of AISI 1020 steel sheets of various thicknesses by comparing the results with respect to a conventional laser. For this purpose, a novel nozzle design has been devised enabling the delivery of laser beams to the workpiece conventionally as well as through water guidance. Diverging from prior literature, a fiber laser is used with a high wavelength and a laser power output of 1 kW. Experiments are conducted on steel sheets with thicknesses ranging from 1.5 mm to 3 mm using three different cutting speeds and laser power levels. Analysis focuses on assessing surface roughness, burr formation and heat effects on the cut surfaces for both conventional and waterjet-guided cutting. Surface roughness is evaluated by using a 3D profilometer and cut surfaces are examined through SEM imaging. The results showed that the waterjet-guided laser system greatly reduced surface roughness and minimized problems associated with traditional laser cutting such as kerf, dross adherence and thermal damage. The study revealed that cutting speed had a greater effect on surface roughness reduction than laser power, with the most noticeable differences occurring in thinner sheets. Furthermore, the investigation suggests that the waterjet-guided laser cutting system demonstrates superior performance relative to conventional methods, particularly in surface quality. © 2024 by the authors
How does the service quality in refugee camps, affect the satisfaction of Syrian immigrants?
No full textThe immense influx of refugees after the Syrian conflict started in 2011 has rendered Kilis among the provinces hosting the highest number of Syrian asylum seekers in Türkiye. This study examines the effect of the service quality at Kilis’ Elbeyli Temporary Accommodation Center on asylum seekers’ satisfaction. We conducted 320 surveys with Syrian asylum seekers from among the 8008 residents in the Center. After the analysis, it was found that the perceived service quality positively impacted asylum seekers’ satisfaction. The results can contribute to the performance of the social work public officials employed in refugee camps. © The Author(s) 2024
Primipar adölesan gebelere web tabanlı ve yüz yüze verilen emzirme eğitimi etkinliğinin değerlendirilmesi
Get PDFÇalışma primipar adölesan gebelere web tabanlı ve yüz yüze verilen emzirme eğitimi etkinliğinin değerlendirilmesi amacıyla randomize kontrollü bir çalışma olarak yapılmıştır. Araştırma Mart 2023 ve Aralık 2023 tarihleri arasında Sağlık Bilimleri Üniversitesi Van Eğitim ve Araştırma Hastanesi Kadın Doğum ve Hastalıkları Polikliniklerinde yürütülmüştür. Çalışmaya dahil edilme kriterlerine uyan 45 Kitapçık Destekli Yüz Yüze Emzirme Eğitimi Programı (KİDYEP), 45 Web Tabanlı Video Destekli Emzirme Eğitimi Programı (WEBVİDEP) ve 45 kontrol grubu olmak üzere toplam 135 primipar adölesan gebe dahil edilmiştir. Ön test verileri üçüncü trimesterde gruplara sosyo-demografik veri formu, anne sütü ve emzirme bilgi formu, emzirme öz-yeterlilik kısa form ölçeği (antenatal şekli) uygulanarak toplanmıştır. Ön test verileri toplandıktan sonra KİDYEP grubuna emzirme eğitimi kitapçığı ile yüz yüze emzirme eğitimi programı, WEBVİDEP grubuna web tabanlı video destekli emzirme eğitimi programı uygulanmıştır. Doğumdan sonra birinci ve altıncı haftalarda gruplara anne sütü ve emzirme bilgi formu, LATCH emzirmeyi tanılama ve değerlendirme ölçeği ve emzirme öz-yeterlilik kısa form ölçeği (postnatal şekli) uygulanarak veriler toplanmıştır. Doğumdan sonra altıncı haftada yapılan son teste göre bebeği sadece anne sütü ile besleme durumu kontrol grubunda %53,5 iken KİDYEP grubunda %97,7 ve WEBVİDEP grubunda %95,2 olarak bulunmuştur. Kontrol grubunda bebeği toplam anne sütü ile beslemeyi düşünme sürelerinin ortalaması 18,9 ay iken KİDYEP grubunda 24 ay ve WEBVİDEP grubunda 21,9 ay olarak saptanmıştır. Kontrol grubunda emzirme konusunda bilgi düzeyi ortanca değeri 5, KİDYEP grubunda 6 ve WEBVİDEP grubunda 6 olarak elde edilmiştir. Kontrol grubunda EÖYÖ ortanca değeri 51, KİDYEP grubunda 58 ve WEBVİDEP grubunda 57,5 olarak elde edilmiştir. Kontrol grubunda LATCH ortalama değeri 7,80, KİDYEP grubunda 8,86 ve WEBVİDEP grubunda bu değer 9,06 olarak elde edilmiştir. Çalışmamızın sonucunda KİDYEP ve WEBVİDEP grubundaki annelerin sadece anne sütü ile besleme oranları, bebeği toplam anne sütü ile beslemeyi düşünme süreleri, anne sütü ve emzirme bilgi düzeyleri, emzirme öz yeterlilik düzeyleri ve emzirme başarıları kontrol grubuna göre yüksek bulunup, hem kitapçık destekli yüz yüze emzirme eğitimi programı hem de web tabanlı video destekli emzirme eğitimi programının benzer şekilde etkili olduğu bulunmuştur.The present study was conducted as a randomized controlled trial to evaluate the effectiveness of web-based and face-to-face breastfeeding education given to primipara adolescent pregnant women. The study was conducted between March 2023 and December 2023 at the University of Health Sciences Van Training and Research Hospital Obstetrics and Gynecology Polyclinics. A total of 135 primipara adolescent pregnant women who met the inclusion criteria were included in the study, including 45 in the Booklet Supported Face-to-Face Breastfeeding Education Program (KİDYEP), 45 in the Web-Based Video Supported Breastfeeding Education Program (WEBVİDEP) and 45 in the control group. Pre-test data were collected in the third trimester by applying socio-demographic data form, breast milk and breastfeeding information form, and breastfeeding self-efficacy short form scale (antenatal form) to the groups. After the pre-test data were collected, a face-to-face breastfeeding education program with a breastfeeding education booklet was administered to the KİDYEP group, and a web-based video-assisted breastfeeding education program was administered to the WEBVİDEP group. Data were collected by applying breast milk and breastfeeding information form, LATCH breastfeeding identification and evaluation scale and breastfeeding self-efficacy short form scale (postnatal version) to the groups at the first (midtest) and sixth (posttest) weeks after delivery. According to the post-test conducted at the sixth week after birth, the rate of exclusive breastfeeding was found to be 53.5% in the control group, 97.7% in the KİDYEP group and 95.2% in the WEBVİDEP group. While the mean total duration of considering breastfeeding was 18.9 months in the control group, it was found to be 24 months in the KİDYEP group and 21.9 months in the WEBVİDEP group. The median level of knowledge about breastfeeding was 5 in the control group, 6 in the KİDYEP group and 6 in the WEBVİDEP group. The median value of BSES was 51 in the control group, 58 in the KİDYEP group and 57.5 in the WEBVİDEP group. The mean value of LATCH was 7.80 in the control group, 8.86 in the KİDYEP group and 9.06 in the WEBVİDEP group. As a result of the present study, the rate of exclusive breastfeeding, the total duration of considering breastfeeding, breast milk and breastfeeding knowledge levels, breastfeeding self-efficacy levels and breastfeeding success of the mothers in the KİDYEP and WEBVİDEP groups were found to be higher than the control group, and both the booklet-supported face-to-face breastfeeding education program and the web-based video-supported breastfeeding education program were found to be similarly effective
Bir aile sağlığı merkezine başvuran erişkin bireylerin kardiyovasküler hastalık riski farkındalığının belirlenmesi
Get PDFBu Araştırma bir aile sağlığı merkezine başvuru yapan 18 yaş üstü bireylerin kardiyovasküler hastalıklara sebep olan risk faktörleri hakkındaki bilgi ve farkındalık düzeylerini ölçmeyi amaçlamaktadır. Tanımlayıcı ve kesitsel nitelikteki araştırmanın evrenini 1 Nisan-30 Haziran 2023 tarih aralıklarında aile sağlığı merkezine herhangi bir sebep nedeniyle başvuran 18 yaş ve üzeri tüm bireyler, örneklemini ise çalışmaya katılmayı kabul eden 265 gönüllü birey oluşturdu. Araştırmanın verileri “Tanıtıcı Bilgiler Formu” ve “Kardiyovasküler Hastalıklar Risk Faktörleri Bilgi Düzeyi (KARRİF-BD)” ölçeği kullanılarak yüz yüze görüşme yöntemiyle toplandı. Ayrıca çalışma kapsamında katılımcıların tansiyonları ölçülerek sonuçlar kaydedildi. Katılımcıların %45.3’ü 26-35 yaş aralığında, %60’ı kadın, %24.5’i üniversite ve üzeri mezunu, %68.7’si evli ve %75.8’i ilçede yaşamaktadır. Araştırmaya katılan bireylerin KARRİF-BD toplam puan ortalamalarının; 19-25 yaş grubunda olanlarda diğer gruplara oranla daha düşük olduğu, üniversite ve üzeri mezun olanların KARRİF-BD toplam puan ortalamalarının okuryazar olmayanlara, ortaokul ve lise mezununa göre daha yüksek olduğu ve bu farkın istatistiksel olarak anlamlı olduğu saptandı (p<0.05). Bireylerin kardiyovasküler hastalık riski farkındalık düzeyleri hastalıklara yakalanma oranını doğrudan etkilemektedir
A roadmap for reducing construction waste for developing countries
Get PDFWith the rapid development of the construction industry, construction waste (CW) has recently attracted much attention in many developing countries such as T & uuml;rkiye. As a result, the effective management of construction waste has emerged as a critical concern at the global level. Reducing and managing CW is imperative to promote sustainable urban development. Although several scholars have made many valuable attempts to develop strategies to minimize CW, one of the most effective ways is to propose a road map for CW minimization, which is a method that has never been applied before, neither in this domain nor in the construction management and architectural domain. Unlike former studies, a roadmap was developed for reducing CW in this study. To create a roadmap, three steps were followed in this study. Firstly, CW causes were identified with a systematic literature review. Then, surveys were conducted with the construction stakeholders to obtain their perceptions of these causes. A normalized mean value analysis was conducted, and the importance and criticality of the CW causes were determined. Secondly, a timeline was developed, and it overlapped with the importance of the causes. Finally, roadmap strategies were created, and solutions were proposed to solve the causes of CW in the short, medium, and long term. The roadmap method, which is often used to develop new technologies, has not been used in this way to solve a problem before. Therefore, the study is unique and offers strategies that can be integrated into other studies
Comparing the efficacy of manual therapy and exercise to synchronized telerehabilitation with self-manual therapy and exercise in treating subacromial pain syndrome: A randomized controlled trial
Get PDFThis study aimed to investigate the efficacy of manual therapy and exercise versus synchronized telerehabilitation with self-manual therapy and exercise in treating Subacromial Pain Syndrome (SAPS). Sixty individuals diagnosed with SPS, aged 18-50 years, were randomly assigned to home exercise (HE), manual therapy (MT), and telerehabilitation (TR) groups. Treatment protocols were administered over 8 weeks and included specific exercises and therapy interventions. Outcome measures included the Visual Pain Scale (VAS), shoulder range of motion (ROM) via goniometric measurements, Quick Disability Arm-Shoulder-Hand Problems Survey (Q-DASH), and patient satisfaction. Results revealed that both MT and TR groups exhibited reduced pain, increased ROM, lower Q-DASH scores, and higher patient satisfaction than the HE group. However, no significant differences were found between the MT and TR groups regarding pain levels, ROM, Q-DASH scores, or patient satisfaction. The study concludes that both telerehabilitation and manual therapy effectively alleviate pain and are well-received by patients with SPS. Additionally, manual therapy demonstrates superiority in enhancing functional levels compared to exercise-based interventions (Registration: NCT05200130)
Optimal location selection for electric vehicle car-sharing stations using Fermatean fuzzy decision-making methodology
No full textThis study aims to determine the optimal location for electric vehicle (EV) car-sharing stations by introducing a Fermatean fuzzy multi-criteria evaluation approach. Selecting the optimal location for EV car-sharing stations is crucial for maximizing accessibility, convenience, and user adoption, promoting sustainable urban mobility. By strategically placing stations, the study demonstrates how environmental impacts can be minimized, traffic congestion reduced, and the efficiency of urban transportation improved. The proposed methodology integrates the Fermatean Fuzzy Pivot Pairwise Relative Criteria Importance Assessment (FF-PIPRECIA) method for weighting criteria with the Fermatean Fuzzy IseKriterijumska Optimizacija I Kompromisno Resenje (FF-VIKOR) method for ranking alternative locations, marking the first application of these techniques in combination. A decision matrix is constructed to standardize the evaluation of potential locations, enabling a structured comparison between alternatives. Furthermore, this study introduces the FF-PIPRECIA into decision-making literature, filling a gap by providing a robust tool for handling uncertainty in multi-criteria evaluations of sustainable transportation infrastructure. Key findings revealed that proximity to high-demand areas and energy infrastructure were among the most favorable criteria for selecting EV car-sharing locations. The method's effectiveness was validated by identifying optimal EV car-sharing locations contributing to sustainability and urban mobility goals. The findings offer valuable insights for urban planners and policymakers, enhancing the practical usability of multi-criteria decision-making methods in sustainable transportation planning
Supply-chain resilience and risk management in the post-covıd era
No full textNatural disasters such as earthquakes, anthropogenic hazards such as terrorism, or pandemic diseases such as COVID-19, which affect the whole world in every aspect, have caused businesses and supply chains to be adversely affected throughout history. In this way, unpredictable and unpreventable conditions have forced businesses and decision-makers to develop strategies and act with multiple alternatives to take precautions. With the COVID-19 outbreak, the high dependence of countries, industries and businesses on their suppliers and the extent to which interruptions cause disruptions have shown themselves with brutal consequences. In this study, by focusing on the literature and real case studies, the disruptions experienced by supply chains during the COVID-19 period are discussed, and the measures taken to improve supply-chain resilience against disruptions after the pandemic are evaluated. Thus, by analysing the case studies obtained through six semi-structured interviews with supply-chain businesses from various industries, the lessons learned from the COVID-19 experiences have revealed the practices that can respond quickly to change, make more functional decisions at times of risk, and take more robust steps in the event of a different disruption in the future, on the purpose of developing supply chain resilience
Da-da gerilim yükselten dönüştürücünün kayan kipli kontrolünün tasarım ve simülasyonu
Get PDFGüç elektroniği devre elemanları kullanılarak tasarlanan doğru akım-doğru akım (DA-DA) dönüştürücüler, DA gerilimi başka bir gerilim değerine dönüştüren devrelerdir. DA-DA dönüştürücüler elektronik cihazlarda, cep telefonu, dizüstü bilgisayarın şarj devrelerinde, DA motorların beslemesinde ve güneş enerji santrallarına kadar geniş bir uygulama yelpazesine sahiptirler. DA-DA dönüştürücülerde kullanılan anahtarlama elemanlarından dolayı bu sistemler doğrusal olmayan bir özellik gösteren yapısal sistemlerdir. Kontrollerinde doğrusal olmayan sistemleri kontrol eden yöntemler kullanılmalıdır. Bundan dolayı kaymalı kip kontrolü DA-DA dönüştürücüler için uygun bir kontrol yöntemidir. Bu çalışmada, kayan kipli kontrol yöntemi kullanılarak DA-DA yükseltici dönüştürücünün kontrolüne ait analiz işlemleri yapılmıştır. Kayan kipli kontrol yöntemi ile kontrolü sağlanan DA-DA gerilim yükselten dönüştürücüler diğer dönüştürücü türlerine göre daha iyi performans gösterirler. Kayan kipli kontrolün geleneksel kontrol sistemlerine göre en önemli avantajı ; yük, hat ve parametrik belirsizliklere karşı uygulanabilir olmasıdır. Bu çalışmada, DA-DA yükselten dönüştürücünün MATLAB/Simulink ile modellemesi yapılmış olup simülasyonu gerçekleştirilmiştir