Cardiac Autonomic Function Evaluated by the Heart Rate TurbulenceMethod was not Changed in Obese Patients without Co-morbidities

Gursel Acarturk,Celal Kilit,Ersel Onrat,Alaettin Avsar,Mehmet Melek,Atac Celik 대한의학회 2007 Journal of Korean medical science Vol.22 No.4

The technological state of the art of wave energy converters

GURSEL, K. Turgut Techno-Press 2019 Advances in energy research Vol.6 No.2

While global demand for energy increases annually, at the same time the demand for carbon-free, sulphur-free and NO_x-free energy sources grows considerably. This state poses a challenge in the research for newer sources like biomass and shale gas as well as renewable energy resources such as solar, wind, geothermal and hydraulic energy. Although wave energy also is a form of renewable energy it has not fully been exploited technically and economically so far. This study tries to explain those reasons in which it is beyond doubt that the demand for wave energy will soon increase as fossil energy resources are depleted and environmental concerns gain more importance. The electrical energy supplied to the grid shall be produced from wave energy whose conversion devices can basically work according to three different systems. i. Systems that exploit the motions or shape deformations of their mechanisms involved, being driven by the energy of passing waves. ii. Systems that exploit the weight of the seawater stored in a reservoir or the changes of water pressure by the oscillations of wave height, iii. Systems that convert the wave motions into air flow. One of the aims of this study is to present the classification deficits of the wave energy converters (WECs) of the "wave developers" prepared by the European Marine Energy Center, which were to be reclassified. Furthermore, a new classification of all WECs listed by the European Marine Energy Center was arranged independently. The other aim of the study is to assess the technological state of the art of these WECs designed and/or produced, to obtain an overview on them.

Using artificial intelligence to detect human errors in nuclear power plants: A case in operation and maintenance

Gursel Ezgi,Reddy Bhavya,Khojandi Anahita,Madadi Mahboubeh,Coble Jamie Baalis,Agarwal Vivek,Yadav Vaibhav,Boring Ronald L. 한국원자력학회 2023 Nuclear Engineering and Technology Vol.55 No.2

Human error (HE) is an important concern in safety-critical systems such as nuclear power plants (NPPs). HE has played a role in many accidents and outage incidents in NPPs. Despite the increased automation in NPPs, HE remains unavoidable. Hence, the need for HE detection is as important as HE prevention efforts. In NPPs, HE is rather rare. Hence, anomaly detection, a widely used machine learning technique for detecting rare anomalous instances, can be repurposed to detect potential HE. In this study, we develop an unsupervised anomaly detection technique based on generative adversarial networks (GANs) to detect anomalies in manually collected surveillance data in NPPs. More specifically, our GAN is trained to detect mismatches between automatically recorded sensor data and manually collected surveillance data, and hence, identify anomalous instances that can be attributed to HE. We test our GAN on both a real-world dataset and an external dataset obtained from a testbed, and we benchmark our results against state-of-the-art unsupervised anomaly detection algorithms, including one-class support vector machine and isolation forest. Our results show that the proposed GAN provides improved anomaly detection performance. Our study is promising for the future development of artificial intelligence based HE detection systems.

EXPERIMENTAL STUDY ON AN SI ENGINE FUELLED BY LPG/ACETYLENE MIXTURES

Gursel Cinar,Abdelrahman Eldamanhory,Selahaddin Orhan Akansu,Huseyin Enes Fil,Mehmet Ilhan Ilhak 한국자동차공학회 2020 International journal of automotive technology Vol.21 No.5

In the current time, sustainability and development of internal combustion engines is subjected to two kinds of threats which are fossil fuel depletion and environmental pollution. So, considerable efforts in the world have been exerted to develop and introduce alternative gaseous fuels to replace conventional fuel by partial or total replacement. In this study, the effect of adding acetylene to LPG-fuelled SI engine has been examined. This addition was with flow rates of 500, 750 and 1000 g/h for 25 % load and 1000 g/h for 50 % load, respectively. An experimental investigation has been carried out on 4 stroke, 4- cylinder, water-cooled spark ignition (SI) engine at constant speed (1500 rpm). Also, performance and emissions parameters have been tested at different excess air coefficients (λ = 0.8, 1, 1.2 and 1.7). As a result, it has been found optimum conditions which are the addition of 750 g/h acetylene for 25 % load (almost 41 % of the LPG-acetylene mixture at λ = 1.2) and 1000 g/h for 50 % load (almost 36 % of the LPG-acetylene mixture at λ = 1.5). In addition, hydrocarbon (HC) and carbon monoxide (CO) emissions decreased, while NO emissions increased when compared to that of baseline LPG operation.

Social Support and Hopelessness in Patients with Breast Cancer

Oztunc, Gursel,Yesil, Pinar,Paydas, Semra,Erdogan, Semra Asian Pacific Journal of Cancer Prevention 2013 Asian Pacific journal of cancer prevention Vol.14 No.1

Background: Patients with breast cancer can experience a feeling of hopelessness very deeply in the adjustment process, and the social support provided during this period can be effective in increasing the level of hope. The present study aimed to identify breast cancer patients' social support and hopelessness level. Materials and Methods: The target population of this analytical study was all breast cancer patients (total of 85) who had treatment in the oncology department of a university hospital located in Adana/Turkey and who met the inclusion criteria. Data were collected through "Personal Information Form", "Beck Hopelessness Scale (BHS)" and "Multidimensional Scale of Perceived Social Support" (MSPSS). Analysis was performed using Shapiro Wilk, One Way ANOVA Welch, Student t-test, Mann Whitney U, and Kruskall Wallis tests. Homogeneity of variance was tested with the Levene, Bonferroni and Games Howell tests. Mean scores and standard deviation values are given as descriptive statistics. Results: Average age of the participants with breast cancer is $48.6{\pm}10.6$. Of all the participants, 84.7% are married, 49.4% graduated from primary school, 81.2% are housewives, and 82.4% had children. The participants' multidimensional perceived social support total scores were found to be high ($57.41{\pm}13.97$) and hopelessness scale scores low ($5.49{\pm}3.80$). There was a reverse, linear relationship between hopelessness scale scores and social support total scores (r=-0.259, p=0.017). A statistically significant relationship was found between hopelessness scores and education level and having children, occupation, income status, and education level of spouses (p<0.05). Conclusions: The present study indicates that hopelessness of the patients with breast cancer decreased with the increase in their social support. Therefore, activating patient social support systems is of importance in increasing their level of hope.

Surface Preparation and Activation Only by Abrasion and Its Effect on Adhesion Strength

Ali Gursel,Salih Yild 한국접착및계면학회 2022 접착 및 계면 Vol.23 No.4

Adhesive joints have many advantages such as weight savings, corrosion and fatigue resistance and now developed even withstand of high impact and dynamic loads. However, an adhesion has cumbersome and complicated surface preparation processes. The surface preparation step is critical in adhesive joint manufacturing in order to obtain the prescribed strength for adhesive joints. In this study, it was attempted to simplify and reduce the number of surface preparation steps, and abrasion and rapid adhesive application (ARAA) process is developed for an alternative solution. The abrasion processes are performed only for creating surface roughness in standard procedures (SP), although the abrasion processes cause surface activation itself. The results showed that there is no need the long procedures in laboratory or chemical agents for adhesion. After the abrasion process, the attracted and highly reactive fresh surface layer obtained, and its effect on bonding success is observed and analyzed in this research, in light of the essential physic and adhesion theories. Al 6061 aluminum adherends and epoxy-based adhesives were chosen for bonding processes, which is mostly used in light vehicle parts. The adherends were cleaned, treated and activated only with abrasion, and after the adhesive application the specimens were tested under quasi-static loading. The satisfied ARAA results were compared with that of the specimens fabricated by the standard procedure (SP) of adhesion processes of high impact loads.

A New Clinical Tool for Scoliosis Risk Analysis: Scoliosis Tele-Screening Test

Yılmaz Hurriyet Gursel,Büyükaslan Ahsen,Kuşvuran Aslihan,Turan Zeynep,Tuna Filiz,Tunc Hande,Özdoğan Sibel 대한척추외과학회 2023 Asian Spine Journal Vol.17 No.4

Study Design: Methodological, observational clinical study.Purpose: This study aimed to develop a virtual screening test to detect scoliosis risk initially by parents without the need for medical visit during the coronavirus disease 2019 pandemic.Overview of Literature: The scoliosis screening program has been implemented to early detect scoliosis. Unfortunately, access to health professionals was limited during the pandemic. However, during this time, interest in telemedicine has increased remarkably. Recently, mobile applications related to postural analysis were developed, but none permits evaluation by parents.Methods: Researchers developed the Scoliosis Tele-Screening Test (STS-Test), which included drawing-based images of body asymmetries, to assess the scoliosis-associated risk factors. The STS-Test was shared on social networks, allowing the parents to evaluate their children. After test completion, the risk score was generated automatically, and children with medium and high risks were then advised for medical consultation for further evaluation. The test accuracy and consistency between the clinician and parents were also analyzed.Results: Of the 865 tested children, 358 (41.4%) consulted clinicians to confirm their STS-Test results. Scoliosis was then confirmed in 91 children (25.4%). The parents were able to detect asymmetry in 50% of the lumbar/thoracolumbar curvatures and 82% of the thoracic curvatures. In addition, the forward bend test revealed favorable agreement between parents and clinicians (<i>r</i> =0.809, <i>p</i><0.0005). Internal consistency of the esthetic deformities domain in the STS-Test was also excellent (α=0.901). This tool was 94.97% accurate, 83.51% sensitive, and 98.87% specific.Conclusions: The STS-Test is a new parent-friendly, virtual, cost-effective, result-oriented, and reliable tool for scoliosis screening. It allows parents to actively participate in the early detection of scoliosis by screening their children for the risk of scoliosis periodically without the need to visit the health institution.

Male Breast Cancer: 20 Years Experience of a Tertiary Hospital from the Middle Black Sea Region of Turkey

Serarslan, Alparslan,Gursel, Bilge,Okumus, Nilgun Ozbek,Meydan, Deniz,Sullu, Yurdanur,Gonullu, Guzin Asian Pacific Journal of Cancer Prevention 2015 Asian Pacific journal of cancer prevention Vol.16 No.15

Background: Male breast cancer is a rare neoplasm, and its treatments are based on those of female breast cancer. This study aimed to analyze 20 years of male breast cancer clinical characteristics and treatment results from the Middle Black Sea Region of Turkey. Materials and Methods: A retrospective analysis of 16 male breast cancer patients treated in our tertiary hospital between 1994 and 2014 was performed. Epidemiologic data, tumor characteristics, and treatments were recorded and compared with 466 female breast cancer ((premenopausal; n = 230) + (postmenopausal n = 236)) patients. The 5-year disease-free and overall survival rates were calculated. Results: Male breast cancer constituted 0.1% of all malignant neoplasms in both sexes, 0.2% of all malignant neoplasms in males, and 0.7% of all breast cancers. The mean patient age in this study was $59.8{\pm}9.5$ (39-74) years. The mean time between first symptom and diagnosis was $32.4{\pm}5.3$ (3-60) months. Histology revealed infiltrative ductal carcinoma in 81.3% of patients. The most common detected molecular subtype was luminal A, in 12 (75%) patients. Estrogen receptor rate (93.8%) in male breast cancer patients was significantly higher than that in female breast cancer (70.8% in all females, p = 0.003; 68.2% in postmenopausal females, p = 0.002) patients. Most of the tumors (56.3%) were grade 2. Tumor stage was T4 in 50% of males. The majority (56.3%) of the patients were stage III at diagnosis. Surgery, chemotherapy, radiotherapy and endocrine-therapy were applied to 62.5%, 62.5%, 81.2% and 73.3%, respectively. Loco-regional failure did not occur in any of the cases. All recurrences were metastastic. The 5-year disease-free and overall survival rates in male breast cancer patients were 58% and 68%, respectively. Conclusions: Tumors found in male breast cancer patients were similar in size to tumors found in females, but they advanced to T4 stage more rapidly because of the lack of breast parenchymal tissues. The rate of estrogen receptor expression tended to be higher in male breast cancer patients than in female breast cancer patients. Metastasis is the most important problem in initially non-metastatic male breast cancer patients.

Experimental nonlinear vibrations of an MRE sandwich plate

Jiawei Zhang,Tanju Yildirim,Gursel Alici,Shiwu Zhang,Weihua Li 국제구조공학회 2018 Smart Structures and Systems, An International Jou Vol.22 No.1

The nonlinear vibration analysis of a magneto-rheological elastomer (MRE) sandwich plate is conducted experimentally. Experiments have been performed in order to construct the frequency-response curves in the vicinity of the fundamental natural frequency of an MRE sandwich plate (plate A) in either the absence or presence of a localised external magnetic field at 3 different geometrical locations, for both small and medium magnetic fields. Furthermore, experiments have also been conducted on a pure aluminium plate (plate B) with an equal thickness to the MRE sandwich plate (plate A) in order to examine the influence of the MRE layer on the nonlinear dynamics of the system. An electrodynamic shaker was used to directly force each system and the displacement at the centre of the plate was measured. Meanwhile, permanent magnets were used to apply a localised magnetic field for the experiments where the MRE sandwich plate was subject to an external magnetic field. It was observed all the MRE systems displayed strong hardening-type nonlinear behaviour, however, with increasing magnetic field this behaviour transitioned to a weak hardening-type nonlinearity.

Clinical Characteristics of Patients with Bronchioloalveolar Carcinoma: A Retrospective Study of 44 Cases

Dirican, Nigar,Baysak, Aysegul,Cok, Gursel,Goksel, Tuncay,Aysan, Tulin Asian Pacific Journal of Cancer Prevention 2013 Asian Pacific journal of cancer prevention Vol.14 No.7

Background: Bronchioloalveolar carcinoma (BAC) is considered a subtype of adenocarcinoma of the lung. Recently BAC has been variously termed adenocarcinoma in situ, minimally invasive adenocarcinoma, lepidic predominant invasive adenocarcinoma, and invasive mucinous adenocarcinoma. The aim of the study was to analyze and detect prognostic factors of patients with BAC over a 7-year period. Materials and Methods: This retrospective single-center study included 44 patients with BAC. The impact on survival of fifteen variables (gender, age, smoking status, cough, dyspnea, hemoptysis, fever, chest pain, sputum, metastasis number, Karnofsky performance status, pT, pN, TNM stage, cytotoxic chemoterapy) were assessed. Results: Median age was 55 years (38-83). Most patients were male (63.6%) and stage IV (59.1%). Twenty-one patients (47.7%) received cytotoxic chemotherapy (platinum-based regimens) for metastatic disease. Objective response rate was 33.3% (4 partial, 3 complete responses). Stable disease was observed in nine in patients (42.8%). Disease progression was noted in 5 (23.8%). The median OS for all patients was 12 months (95%CI, 2.08-22.9 months). Independent predictors for overall survival were: Karnofsky performance status (HR:3.30, p 0.009), pN (HR:3.81, p 0.018), TNM stage (HR:6.49, p 0.012) and hemoptysis (HR:2.31, p 0.046). Conclusions: Karnofsky performance status, pN, TNM stage and hemoptysis appear to have significant impact on predicting patient survival in cases of BAC.