Kocaeli Üniversitesi

The Impact of Upper Extremity Rehabilitation on Fatigue in Individuals With Multiple Sclerosis: A Systematic Review

ABSTRACT Background Although numerous interventions have been investigated to alleviate fatigue in people with multiple sclerosis (PwMS), evidence regarding the effects of upper extremity rehabilitation on fatigue remains limited. Objective The objective of this review was to eva...

From weed management to bioenergy production: An integrated BMP –kinetic– MCDM framework for evaluating terrestrial weeds

Abstract Weeds are abundant lignocellulosic biomasses that represent a largely underutilized resource for renewable energy production. This study evaluated the biomethane production potential of five terrestrial weed species— Amaranthus retroflexus , Medicago sativa , Lactuca ser...

Effect of Ceramic Reinforcement Type on Friction Stability and Wear Resistance of Cu and Cu–Bronze Matrix Powder Metallurgy Brake Composites

The tribological performance of copper-matrix sintered brake pads for high-speed rail applications is strongly influenced by ceramic reinforcement type. However, a systematic comparison of SiC, ZrO2, and SiO2 within Cu and Cu–Bronze (Cu–Br) matrix systems remains limited. In this...

Associations of cognitive beliefs and metacognitive processes with eating behavior in adults with obesity and healthy-weight controls: a cross-sectional study

Emotional and uncontrolled eating are common in obesity and may persist despite pharmacological or surgical treatment. Automatic thoughts and metacognitive beliefs may contribute to maladaptive eating, but have rarely been examined together while accounting for depression, anxiet...

Mycorrhizal inoculation enhances productivity, mineral nutrition, pomology, and bioactive compounds of sweet cherry under field conditions on calcareous soils

Arbuscular mycorrhizal fungi (AMF) are increasingly recognized as a sustainable biological approach to improve nutrient acquisition and fruit quality in horticultural crops. Their role is particularly important under calcareous soil conditions where nutrient availability is restr...

Fabrication of Beeswax–Soapwort Root Powder–Gelatin Bigel-Based Foamed Emulsions for Use as a Fat Replacer in Mousse

In this study, beeswax (BW) and gelatin, soapwort root powder (SRP) were employed to create oleogel and hydrogel for bigel development, respectively. The study aimed to determine the potential utilization of SRP in the bigel system to create a novel fat replacer (bigel-based foam...

Real-World Outcomes of Second-Line Chemotherapy in Metastatic Urothelial Carcinoma

Second-line chemotherapy is widely used in metastatic urothelial carcinoma after progression on first-line platinum-based therapy, but its independent contribution to survival, as opposed to selection of healthier patients, remains unclear. In this multicenter retrospective cohor...

From Idol to Icon: The Problem of Divine Naming in Comparative Perspective

Naming the divine exposes a structural tension: language makes the transcendent intelligible only by confining it within humanly constructed measures. Jean-Luc Marion identifies this risk as conceptual idolatry, opposing the conceptual idol to the icon, a sign that directs the ga...

Numerical Modelling of Clamping Condition Effects on Contact Behavior and Structural Stability in Toolholder Systems during External Cylindrical Turning

The mechanical stability of tool-clamping systems is governed by contact conditions at the tool holder–tool post interface, which are directly controlled by bolt-induced preload forces. In external turning operations on universal lathes, manual tightening of clamping bolts may in...

Gender-Role Egalitarianism and Dating Violence Rejection in Turkish University Students: Distinct Fairness Facets of Proportionality and Equality

Dating violence remains a significant concern in emerging adulthood, yet rejection of dating violence may not be fully explained by gender-role egalitarian beliefs alone. Moral foundations were also considered as potential explanatory factors in understanding attitudes toward dat...

Awake Tracheal Intubation Practice and Clinical Decision-Making in Brief Airway Scenarios Among Anesthesiologists in Türkiye: A Cross-Sectional Survey

Objective: Awake tracheal intubation (ATI) is recommended for an anticipated difficult airway, yet its use remains limited. This study evaluated anesthesiologists’ ATI practices and scenario-based decision-making and identified factors associated with its use.Material and Methods...

Evaluation of Large Language Model-Generated Recommendations in Glaucoma Surgical Decision-Making

Objective To evaluate the utility, rationality, and safety of glaucoma surgery recommendations generated by three prominent large language models (LLMs) – ChatGPT, Microsoft Copilot, and Google Gemini – when applied to real-world clinical scenarios.Methods Retrospective records f...

The relationship between serum FGF-21, neuregulin-4 and leptin levels and disease severity in patients with psoriasis

BACKGROUND: Psoriasis is an immune-mediated inflammatory disease accompanied by metabolic syndrome (MetS). FGF-21, leptin, Nrg-4, and hs-CRP may reflect cardiometabolic dysfunction. OBJECTIVE: To compare MetS prevalence and biomarker levels in psoriasis versus controls and assess...

Cancer in systemic sclerosis: clinical associations and prognostic impact from the EUSTAR registry

BACKGROUND: Cancer represents a major cause of mortality in systemic sclerosis (SSc). Established risk factors are limited to specific subsets, particularly early diffuse anti-RNA polymerase III (POLR3)-positive disease, needing further exploration. METHODS: We performed a nested...

Real-world outcomes of second-line therapy in advanced thymic carcinoma: a multicenter Turkish Oncology Group (TOG) study

Abstract Background Thymic carcinoma (TC) is a rare and aggressive malignancy with limited evidence guiding second-line treatment after prior systemic therapy. We evaluated real-world outcomes of second-line systemic therapy in a multicenter cohort. Methods Adults with unresectab...

Genomize-SEQ: an NGS data analysis platform for genomic variant classification and prioritization

Abstract Accurate interpretation of diverse genetic variants remains a pivotal challenge in the diagnosis of rare diseases. Although evidence-based guidelines established by the American College of Medical Genetics and Genomics have enhanced the precision of variant assessment, t...

The Mediating Effect of Risk Awareness on the Relationship Between Infectious Disease Knowledge and Protective Behaviors Among Earthquake-Affected Populations

Background: Long-term post-disaster settings increase infectious disease risks, requiring adequate knowledge and risk awareness to promote protective behaviors. This study was conducted to investigate the relationships between infectious disease knowledge, risk awareness, and pro...

Inter-examiner reliability in periodontal diagnosis and treatment planning using the 2018 classification and the EFP S3 clinical guideline

Abstract Background The 2018 Classification of Periodontal and Peri-Implant Diseases and Conditions introduced a multidimensional diagnostic framework incorporating staging, grading, and extent, the European Federation of Periodontology (EFP) S3-level clinical practice guidelines...

Enhancing Drone Light Shows Performances: Optimal Allocation and Trajectories for Swarm Drone Formations

ABSTRACT Drone light shows (DLShows) represent a rapidly growing application of swarm robotics, creating captivating aerial displays through the synchronized flight of hundreds or thousands of unmanned aerial vehicles (UAVs) as environmentally friendly and reusable alternatives t...

Examination of Online Learning Strategies With Cluster Analysis

ABSTRACT The aim of this study is to identify the learning strategies of students taking e‐courses in e‐learning environments using clustering algorithms, a data mining technique and to determine how these strategies are distributed according to the variables gender, class, facul...