The 5th National Logistics and Supply Chain Conference

Abstract. The 5thNational Logistics and Supply Chain Conference (ULTZK) held in Mersin Divan Hotel on the 26-28 May 2016. A number of academics, logistics service receiver company representatives (manufacturers, wholesalers, retailers, etc.), logistics service provider company representatives (transport, logistics, storage, etc.), non-governmental organization representatives, and the relevant public institution and organization representatives participated to the conducted panels and sessions. In those sessions Logistics General Issues; Supply Chain Management; Logistics Costs; Urban Logistics; Mathematical Modelling; Maritime Logistics and Port Management; Green Logistics; Hazardous Substances Logistics; Logistics and Foreign Trade; Logistics Facility Site Selection; Logistics Current Issues; Air Logistics; Vehicle Routing; Logistics and Administrative Logistics Issues; and Logistic Village issues were covered. In broad terms, the conference was highly informative and provided significant out comes to its participants.Keywords. Logistics, Logistics economy, Logistics management, Supply chain.JEL. M10, M11, M19

An Application Related to Logistics Social Responsibility Evaluation with DEMATEL and ELECTRE Methods

Abstract. The issue of environment becomes one of the privileged areas determined in the framework of social responsibility when national and international ethical scandals are experienced in various sectors. Therefore, to analyze activities of logistics firms in the framework of social responsibility theme gains importance while evaluating the activities in terms of their environmental effects. In regard to this important aspect, the purpose of this study is determined as to specify and prioritize the criteria which logistics firms should take into account while performing their social responsibility activities then to select the logistics firm which has the highest level of social responsibility. In this manner, DEMATEL method is used for weighting the criteria and ELECTRE method is used for firm selection. Analysis results show that “breakdown of fleet composition” criteria is the most important logistics social responsibility criteria while C firm has the highest level of social responsibility.Keywords. Logistics, Social responsibility, Multi criteria decision making.JEL. M10, M11, M14

Multiple Criteria Decision Model Suggestion for Determination of Technological Innovation of Logistic Firms

Abstract. The purpose of this study is to develop a model for determination of technological innovation level of logistic firms. The suggested model is used on the ranking of logistic firms listed in 2015 Fortune 500 Turkey according to their technological innovation levels. With this purpose, the study is conducted in two phases. In this first phase, a multiple criteria decision model is developed using Delphi Method to be used in determination of technological innovation levels of logistic firms. In the second phase, the suggested model is tested using Analytical Hierarchy Process (AHP), TOPSIS, VIKOR and Bord a method in order. Study findings show that the suggested model is applicable and can be used for determination of technological innovation level of logistic firms. Additionally, according to analysis results; it is concluded that “radical innovation” is the main criterion and “big data” is the most important sub-criterion. C firm is determined as having the highest level of technological innovation level.Keywords. Logistics, Innovation, Technological Innovation, Delphi Method, AHP, TOPSIS, VIKOR, Borda.JEL. O31, O35, Q55

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

The Status of University Business Schools Regarding Industry 4.0: From the Turkish Perspective

Industry 4.0, whose effects have been more and more noticeable in recent years, and the digital change it brings call for a new educational model that aligns university instructional processes and curricula with the demands of business. This approach, known as University 4.0, intends to promote more technology-based applications, the power of innovation, the training of skilled specialists to satisfy industrial needs, and the development of competences that can achieve multidisciplinary projects. It is of utmost importance to adapt late-industrializing nations’ educational systems, such as Turkey’s, to this change process. The aim of this research, which takes the Turkish context as a reference, is to reveal how the curricula and educational processes of business schools should be shaped with a perspective that takes into account the human resources requirements of industry 4.0. A decision-making technique that integrates QFD, Delphi, and DEMATEL methods was employed in the study. The results clearly show that the most important expectation for social stakeholders is to provide university-industry cooperation. However, some of the most pressing problems include applied learning through collaborative educational experiences, teamwork skills, changing roles and competencies of academics. The findings point out that the educational activities of business schools must be linked with industry expectations through technology-based training activities and teamwork