Web-Based GIS for Safe Shipping in Istanbul Bosphorus Strait

The term “shipping accident” is mostly used to define any accident occurring at sea resulting in financial loss, including life or property or both. Common shipping accidents can be categorized into several groups: collision or contact, capsize, foundering, breaking-up, grounding, breakdown of the ship, underway, stranding and fire or explosion. Common shipping accidents in the strait of Istanbul are mostly collisions or stranding. Providing the necessary information for safe shipping in the strait could decrease shipping accidents. That kind of accurate information is generally achieved through navigation systems. Web-based GIS is one type which contributes to these navigation systems. Web-based GIS is a network-based tool that takes advantage of the internet, with the visualizing, analysing and accessing of distributed data and analysis functions. This study is aimed at creating a Web-based GIS application for effective coastal management, which includes berthing factors (anchorage areas, currents, submerged, etc.), maritime traffic factors (traffic separation schemes, traffic flow directions), closed areas and other factors (lighthouses, buoys, beacons, etc.) by digitizing printed navigation charts produced by the Turkish Naval Forces’ Office of Navigation, Hydrography and Oceanography. Such an application could be widely used as it is web-based. The system is expected to contribute not only to the accurate navigation of high-tonnage ships but also to smaller vessels that do not have their own navigation systems

Integration of oncology and palliative care : a Lancet Oncology Commission

Full integration of oncology and palliative care relies on the specific knowledge and skills of two modes of care: the tumour-directed approach, the main focus of which is on treating the disease; and the host-directed approach, which focuses on the patient with the disease. This Commission addresses how to combine these two paradigms to achieve the best outcome of patient care. Randomised clinical trials on integration of oncology and palliative care point to health gains: improved survival and symptom control, less anxiety and depression, reduced use of futile chemotherapy at the end of life, improved family satisfaction and quality of life, and improved use of health-care resources. Early delivery of patient-directed care by specialist palliative care teams alongside tumour-directed treatment promotes patient-centred care. Systematic assessment and use of patient-reported outcomes and active patient involvement in the decisions about cancer care result in better symptom control, improved physical and mental health, and better use of health-care resources. The absence of international agreements on the content and standards of the organisation, education, and research of palliative care in oncology are major barriers to successful integration. Other barriers include the common misconception that palliative care is end-of-life care only, stigmatisation of death and dying, and insufficient infrastructure and funding. The absence of established priorities might also hinder integration more widely. This Commission proposes the use of standardised care pathways and multidisciplinary teams to promote integration of oncology and palliative care, and calls for changes at the system level to coordinate the activities of professionals, and for the development and implementation of new and improved education programmes, with the overall goal of improving patient care. Integration raises new research questions, all of which contribute to improved clinical care. When and how should palliative care be delivered? What is the optimal model for integrated care? What is the biological and clinical effect of living with advanced cancer for years after diagnosis? Successful integration must challenge the dualistic perspective of either the tumour or the host, and instead focus on a merged approach that places the patient's perspective at the centre. To succeed, integration must be anchored by management and policy makers at all levels of health care, followed by adequate resource allocation, a willingness to prioritise goals and needs, and sustained enthusiasm to help generate support for better integration. This integrated model must be reflected in international and national cancer plans, and be followed by developments of new care models, education and research programmes, all of which should be adapted to the specific cultural contexts within which they are situated. Patient-centred care should be an integrated part of oncology care independent of patient prognosis and treatment intention. To achieve this goal it must be based on changes in professional cultures and priorities in health care

2016 NATIONAL CONFERENCE ON ELECTRICAL, ELECTRONICS AND BIOMEDICAL ENGINEERING (ELECO)

Electromagnetic field (EMF) radiation are formed by the acceleration of electric charge. Electric charges produce electric and magnetic energy in space when they move. These waves have different frequencies and wavelengths and when they interact with an object they can be refracted, reflected or absorbed. When a suitable frequency and waveform EM signal is applied to the target tissue with the help of a coil or applicator physiological effects will occur at the cellular size. Today studies revealed significant molecular mechanisms occurring during wound healing. Nonionizing part of the EM spectrum is low-frequency electromagnetic fields are used as adjunct therapy in soft tissue injuries. In this study, the main goal is development of systems which will give better results compared with conventional treatment methods taking into account the effect on rat skin. To achieve this, some improvements in output power, increased gain, versatility, easy adjustments are provided for the spiral and planar antenna-applicator design

2016 MEDICAL TECHNOLOGIES NATIONAL CONFERENCE (TIPTEKNO)

Delayed or not sufficiently good wound healing is a significant problem in medical treatment is needed to support in order to improve healing. Low frequency electromagnetic field (EMF) applications are seems to give this support. Disturbed vascularization, connective tissue formation, matrix exchange, and inflammation process in the wound environment are modified after EMF applications compared with control groups. Deteriorations in these factors which can be returned with the electrical impulses, DNA synthesis, transcription and transforms of protein synthesis, increasing of fibroblasts and endothelial cell proliferation indicate the presence of EMF mechanisms. Since the application and ambient conditions are kept constant but the type of the application has been changed in our study, it was provided that pulsed radio frequency energy (PRFE) is more effective and has more long-term improvement compared to pulsed electromagnetic fields (PEMF). The effects of these applications on cells and understanding of the mechanisms of the behavior will be much more significant and meaningful contribute to the treatmen

2016 NATIONAL CONFERENCE ON ELECTRICAL, ELECTRONICS AND BIOMEDICAL ENGINEERING (ELECO)

There has been only a few technical progress which contribute to wound healing in the last century. Despite these advances wound healing is very hard issue to study because of its subjectivity, diversity and complexity of the wound healing process and diversity of patients. Molecules are insufficient in the chronic wound and unlike other cells multiplying endothelial cells interrupt the healing process. To restart this process, cells can be excitated by pulsed electromagnetic fields stimulation method. When a suitable frequency and waveform electromagnetic field (EMF) signal is applied to the target tissue with the help of a coil or applicator physiological effects occurs at the cellular size. Low-frequency electromagnetic fields are non-ionizing part of the EM spectrum and they are used as adjunct therapy in soft tissue injuries. In this study, an antenna-applicator design was performed and the effect of non-thermal pulsed radio frequency energy (PRFE) system to the wound created rat skin was examined

God at work: an institutional perspective on the impact of religion on organizations

The dissertation presents an institutional perspective on the role of values and meaning for organizations focusing on the institutional logic of religion. At its core are Chapter III, a conceptual paper, and Chapters IV and V, empirical papers based on an in-depth two-years long ethnographic case study on the founding process of the first Islamic Bank in Germany. They are framed by an introductory chapter and a conclusion that address the overarching research question of how diverse institutional demands are managed within and beyond the boundaries of organizations, as well as a general literature review chapter that embeds the papers within the wider institutional theory literature. Chapter III presents a conceptualization that integrates religion, specifically Islam, with entrepreneurship along three interconnected pillars: the entrepreneurial, socio-economic/ethical and religio-spiritual; and outlines how Islam shapes entrepreneurship at the micro-, meso- and macro-level. It suggests the institutional logics perspective to further analyze the impact of religion on organizations, which the subsequent papers build on. Chapter IV extends theory on organizational hybridity by outlining polyphony and polysemy as two mutually reinforcing organizational responses, that allow competing logics to coexist without structurally separating or blending them, and that produce elastic hybridity, showing how hybrid organizations can accommodate competing logics that are both central and incompatible. Chapter V shows how organizations collectively and dynamically co-generate and co-resolve institutional complexity through four combinatory mechanisms: pushing, pulling, clarifying and tolerating. These are subsequently integrated into a framework based on their desired versus required and actual versus perceptual nature. Overall, this dissertation contributes to a better understanding of how organizations manage diverse institutional demands including religion.</p

2016 MEDICAL TECHNOLOGIES NATIONAL CONFERENCE (TIPTEKNO)

Chronic wound healing is an important problem especially in diabetic and the elderly which is needed development of the current treatment methods. Electromagnetic fields (EMF) has a significant impact on our body. These fields are being used for bone problems, cartilage regeneration, and pain removal for physiotherapy purposes. Lately, EMFs are often used in in vitro and in vivo assays. In this study, in vivo test results of the applied pulsed electromagnetic fields (PEMF) with our designed Helmholtz coil array system are given. The skin wound healing conducted in rats as an experimental model provides important information for evaluating the efficacy and mechanism of these kind of treatments. For this purpose, effectiveness of PEMF compared to control groups on experimental skin healing effect was examined macroscopically. Compared with the control groups a faster wound healing process was followed by PEMF application at 75 Hz frequency