Systematic Analysis of Multi-Source Inspection Database via Ship Smart Audit System

This study proposes a methodology to deeply analyze the multi-source inspection/audit findings gathered from a ship fleet to promote and implement proactive measures systematically. In addition to the ship audit reports of Company-A operating 16 bulk carriers in the Black Sea and the Mediterranean, the multi-source inspection database also consists of benchmarking datasets of different fleets. The Ship Smart Audit System (SSAS), including data collection, causation, analysis and prioritization, and implementation phases, is developed to strengthen the maritime regulatory compliance. Particularly, the Marine Systematic Cause Analysis Technique (M-SCAT), Cognitive Mapping (CM), and Pareto analysis are integrated into methodological background of the study. The SSAS is demonstrated with 5,000 findings from the benchmarking dataset and, subsequently, over 1,900 findings from the Company-A. Then, cause priorities, root cause trends, preventive actions, and audit item preferences are identified as an interconnected process of the ship management company. Consequently, the study encourages maritime executives to increase the effectiveness of pre-inspection and internal audit implementations

Ethics in Palliative Care

Health services received at the end-of-life (EoL) are accepted as a basic human right. EoL is a very difficult period for patients and their families. Patients in the EoL period should be provided palliative care (PC) services that will increase their quality of life, so their families. Especially pain and other symptoms that the patient faces should be relieved during PC, and grief counseling should be provided to families in the mourning period after the patient’s death. A significant majority of patients who need PC services are cancer patients. Health professionals, including doctors in the first place, should conduct their relationships between patients’ families and with patients who need PC in accordance with biomedical ethical principles. The biomedical ethical principles that will protect the boundaries that should not be exceeded are as follows: (1) explaining that the person can participate in decisions about their treatment: Respect for autonomy; (2) explaining that they should not suffer any healthcare-related harm while receiving healthcare services: Nonmaleficence; (3) explaining that the health services they receive should be evidence-based and useful for the patient: Beneficence; and (4) explaining that the patient can get the health service she needs as much as she needs: Justice

The views of nurses working at palliative care centers about palliative care and the influence of education on their knowledge level

This study is conducted as a qualitative research in order to determine the effect of education on knowledge level and attitudes of nurses about palliative care (PC). 42 nurses participated in this work voluntarily. Open-ended questions are used in order to measure the knowledge level and attitudes of the nurses about the palliative care. 10 open-ended questions are asked to participants before training (both theoretical and practical training), and 12 open-ended questions are asked after training. The obtained data are subjected to thematic analysis. 6 main themes are found out as a result of the study: The Meaning of Palliative", "Improving the Quality of Life", "A Great Part of Care: Patients Family/Relatives", "Incompletenesses", "Communication and Colloboration" and "Difficulties". Before and after the training, differences are seen in the knowledge level and attitudes of the participants in palliative care, in the sub-categories of the meaning of the palliative care and in improving the quality of life and in the category of ethical dilemmas. As a result, it is observed that the knowledege level of the nurses working in the palliative care centers (PCCs) has improved and developed after the training program. Palliative care has an important place in maintaining the integration of palliative care to health care services. [Med-Science 2017; 6(4.000): 671-677

Factors affecting the length of stay in the intensive care unit of surviving infants with very low birth weight: A cross-sectional study

Low birth weight causing mortality, morbidity, and lifelong disability is an important public health problem. Infants with very low birth have long hospital lengths of stay. The study aims to determine the factors affecting the length of stay of very low birth weight ( [Med-Science 2022; 11(1.000): 354-60

An examination of factors affecting the length of stay in long-term intensive care

With increased life expectancy, developments in intensive care (IC) and applications, there has been an increase in the length of stay of patients in IC Unit (ICU) in recent years. The aim of this study was to examine factors affecting the Length of Stay (LOS) in long-term ICU (LTICU)A total of 503 patients were included and the effects of variables were evaluated such as age, gender, comorbidities, tracheostomy, nutrition, mechanical ventilator (MV) support, and bacteria produced in cultures, which were predicted to have a clinical effect on the LOS in LTICU. The mean LOS in LTICU was 47.6±52.9 days. The LOS was determined to be increased 0.408-fold in patients with tracheostomy, 0.678-fold with Proteus spp production in cultures and 0.400-fold with E. coli production (p [Med-Science 2018; 7(1.000): 214-217

Procedia Social and Behavioral Sciences

The phenomenon of corporate social responsibility "CSR" has stimulated lots of debates and disagreement among the business scholars. One of the most howling sounds comes from strategy and CSR thinkers. Strategic thinkers of this debate believe that CSR is not only an accountability action but also it is countability action. Due to this countability action heavily based on profit, scholar of strategy field stated that the phenomenon of CSR and the result of its activities should be revised by strategic thinking lens. To this end in this study we examine the CSR activities, especially philanthropy activities (sports, art sponsorships etc.) from strategy perspectives. And the question of this study is "How the process of the strategic CSR activities works on private hospitals?" In the study private hospitals and their CSR activity reports used as the cases of the study. We make qualitative content analysis and the documents in this study are analyzed with qualitative analysis software (MAXQDA). (C) 2016 The Authors. Published by Elsevier Ltd

Resistances of antibiotics and heavy metals in Enterobacteriaceae spp. isolated from gills and intestines of Achanthobrama marmid (Heckel, 1843) from Sir Dam lake Turkey

WOS: 000262706900005PubMed ID: 20112859A total of 94 bacteria, associated with wild Achanthobrama marmid (Heckel, 1843) in Sir Dam lake of Turkey identified. Subsequently, selected isolates were characterized and identified to the genus level. The 94 members of Enterobactedaceae were isolated in the gills and intestines, and among the isolates, E coli were represented at a rate of 55%, Shigella, spp. at a rate of 21%, Salmonella spp. at a rate of 9%, Citrobacter spp. at a rate of 9%, Klebsiella spp. at a rate of 3% and Proteus spp., at a rate of 3%. A total of 94 bacteria resistant to antibiotics and heavy metals were isolated from total 47 of A. marmid samples and were investigated. Viable counts of antibiotic resistant bacteria isolated from gill and intestinal content samples showed high frequencies of resistance to Penicilline-G (KP) (68%), CZ (54%), FOX (48%), while the proportion of CRO (39%) and CTX (36%) resistance was low In this research, heavy metal contamination in Sir Dam lake water samples and resistance frequency against heavy metals in isolated bacteria from gill and intestinal contents in A. marmid were investigated, Heavy metal contamination such as nickel (Ni), cadmium (Cd), copper (Cu) and chromium (Cr) determined diverse rate (except Mn) in water samples. The resistance frequency of the isolates was revealed different rate for the following heavy metals: Ni, Cd, Cu and Cr Men the concentration of heavy metals increased the resistance against heavy metals in diverse genus of isolates in different rate decreased

Determination of the Tissue Distribution of PPO on Caramote Prawn (Melicertus kerathurus, Forskal, 1755) and Jinga Shrimp (Metapenaeus affinis, H. Milne Edwards, 1837) Caught from Izmir

WOS: 000354122800007Tissue distribution of polyphenol oxidase (PPO) was studied in caramote prawn (Melicertus kerathurus) and jinga shrimp (Metapenaeus affinis) postmortem. Activity was analyzed in different tissues: the head (cephalothorax + carapace), carapace, exoskeleton of the abdomen, pereopods, and maxillipeds, individually. Based on the results, PPO activity of jinga shrimp was determined to be higher than caramote prawn during the research period. Partial tissue distribution showed that the highest activity was determined in carapace by using 70% ammonium sulfate fractions. Partial tissue distribution was also used to determine the spread of black spots. In addition, comparison between the PPO levels of caramote prawn and jinga shrimp was performed. The importance of these species is their economic value. However, there is no available data in the literature about caramote prawn and jinga shrimp. The determined data showed us that using antioxidant chemicals would be suitable for jinga shrimp

A Proposal for Corpus Normalization

21st Signal Processing and Communications Applications Conference (SIU) -- APR 24-26, 2013 -- CYPRUSWOS: 000325005300058In order to compare work done under natural language processing, the corpora involved in different studies should be standardized/normalized. Entropy, used as language model performance metric, totally depends on signal information. Whereas, when language is considered semantic information should also be considered. Here we propose a metric that exploits Zipf's and Heaps' power laws to respresent semantic information in terms of signal information and estimates the amount of information anticipated from a corpus of given length in words. The proposed metric is tested on 20 different lengths of sub-corpora drawn from major corpus in Turkish (METU). While the entropy changed depending on the length of the corpus, the value of our proposed metric stayed almost constant which supports our claim about normalizing the corpus