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The effect of hygienic care practices given to stroke patients on vital signs of patients: A self-comparison pre-experimental study
Full text linkBackground: Hygiene and skin care are crucial for stroke patients in intensive care, yet the effects of bathing practices on vital signs in mechanically ventilated stroke patients remain underexplored.
Aim: This study aimed to assess the effects of full bed baths and wiping baths on vital signs in stroke patients.
Study design: A self-comparison pre-experimental study was conducted with 90 stroke patients treated in three intensive care units at a Turkish hospital between 10 January 2021 and 01 January 2022. Patients received either a full bed bath (first measurement day) or a wiping bath (second and third measurement days). Vital signs and arterial blood gas values were measured before and after each bath.
Results: Of the participants, 55.5% were male, with a mean age of 64.2 ± 14.8 years. Significant changes in heart rate, systolic blood pressure, diastolic blood pressure and body temperature were observed after the full bed bath (heart rate: λ = 0.156, F = 43.940; systolic BP: λ = 0.484, F = 17.981; diastolic blood pressure: λ = 0.835, F = 7.216; body temperature: λ = 0.97, F = 142.92; p < .001). Similarly, wiping baths resulted in significant changes (heart rate: λ = 0.354, F = 34.776; systolic blood pressure: λ = 0.384, F = 16.372; diastolic blood pressure: λ = 0.492, F = 17.603; body temperature: λ = 0.236, F = 176.765; p < .001). Arterial blood gas changes were significant after wiping baths on Day three (pH: t = 3.351, p = .001; PaO2: t = 2.400, p = .018).
Conclusions: Both full and wiping bed baths significantly affect vital signs and arterial blood gases in stroke patients. Nurses should tailor bathing practices to patient needs, continuously monitoring vital signs.
Relevance to clinical practice: This study highlights how bathing practices impact vital signs and arterial blood gases in intensive care patients. It emphasizes tailoring interventions to patient needs and preferences, as full baths may suit some, while wiping baths offer advantages, particularly for blood pH and PaO2 levels
Gambling problem of a case with a history of cryptocurrency and sports betting: A case study
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Investigation of the meteorological and hydrological drought characteristics in Yeşilirmak basin, Türkiye
Full text linkThis research has examined meteorological and hydrological droughts, considering the need for comprehensive studies on drought and its significant damage. This research considers monthly rainfall data from 16 meteorological stations and monthly streamflow data from 12 hydrological gauging stations. This paper aims to conduct a thorough examination of meteorological and hydrological droughts utilizing the standardized precipitation index (SPI) and the standardized streamflow index (SDI) over timescales of 1 (monthly), 3 (seasonal), and 12 (annual) months in the Ye & scedil;il & imath;rmak basin, T & uuml;rkiye. The Mann-Kendall (MK) and Spearman Rho (SRHO) are employed at all stations to identify monthly trends, respectively. In addition, Wavelet Transform Coherence (WTC) are performed internal connections between the meteorological and hydrological drought in the basin. Trend test results indicate significant drought trends at 1- and 3-month timescales, while no significant trend is observed at the 12-month timescale. The investigation focuses on understanding the connections between drought conditions observed at hydrological and meteorological stations. The trends are more clearly visible when analyzing data over a 1-month period, compared to analyses covering 3-month or 12-month periods. The SPI and SDI indices show the strongest correlation in the northern part of the basin, while the weakest correlation is observed in the eastern region
Self-stigma in Opioid Use Disorder: The roles of depression, hopelessness, anxiety, stress, and resilience
No full textBackground: Self-stigma is a critical challenge for individuals with opioid use disorder (OUD), exacerbating negative self-perceptions and hindering recovery efforts. While previous studies have examined the effects of depression, anxiety, and stress in OUD populations, limited research has explored the complex interplay between self-stigma, hopelessness, and resilience. This study aimed to examine the relationships between self-stigma, depression, anxiety, stress, hopelessness, and resilience in individuals diagnosed with OUD. Methods: A total of 399 individuals diagnosed with OUD participated in the study at Ankara Training and Research Hospital's Alcohol and Substance Addiction Treatment Center. Participants completed validated self-report measures, including the Depression, Anxiety, and Stress Scale (DASS-21), Beck Hopelessness Scale (BHS), Connor-Davidson Resilience Scale (CDRS-SF), and the Substance Abuse Self-Stigma Scale (SASSS). A hierarchical multiple regression analysis was conducted to determine the predictive roles of resilience, hopelessness, depression, anxiety, and stress on self-stigma. Results: Resilience was negatively correlated with self- stigma (r =-0.28, p < .001) but not predictive. Depression ((3 = .39, p < .001) and hopelessness ((3 = .12, p < .01) were significant predictors of self-stigma, whereas anxiety and stress did not emerge as significant predictors in the final regression model. Conclusions: Depression and hopelessness play key roles in the internalization of stigma among individuals with OUD, underscoring the need for targeted mental health interventions. Future studies should focus on longitudinal research designs and explore the effectiveness of interventions aimed at reducing depression and hopelessness while enhancing resilience to mitigate self-stigma in OUD populations
Weaving hopes and gaining strength: Working with Internet Gaming Disorder from a narrative therapy perspective
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Catalysis in biofuel production and biomass valorization: Trends, challenges, and innovations through a bibliometric analysis
Full text linkBiomass valorization and biofuel production are essential strategies for converting renewable organic materials into sustainable energy, addressing the urgent need for alternatives to fossil fuels. This study conducts a bibliometric analysis of 1657 publications from the Scopus database, covering the period from 2010 to December 2024, revealing significant trends in this field. The number of published articles reached 318 in 2024, peaking at 163 articles in 2020, which garnered 7302 citations, indicating robust global interest. China leads the research landscape with 550 publications and 17,577 citations, followed by the United States with 160 publications and 9359 citations. Key journals include "ACS Sustainable Chemistry and Engineering" and "Chemsuschem", highlighting important contributions to the field. The analysis identifies four clusters: the role of lignin and heterogeneous catalysis in biomass conversion; pyrolysis and waste valorization techniques; key chemical intermediates from biomass; and advanced reactions like hydrogenolysis for enhancing product value. The study emphasizes the need for innovative strategies and interdisciplinary collaboration to improve biomass utilization and biofuel production. Future research should focus on developing integrated systems that promote a circular economy, optimize reaction conditions, and explore new biomass feedstocks. Overall, this research significantly advances the understanding of biomass conversion processes and supports the transition to renewable energy solutions, underscoring the critical role of biomass in achieving sustainability goals
Examining the role of co-worker support and occupational outcome expectancy on career regret
Full text linkPurposeThis paper aims to explore the mechanisms that explain the effects of physicians who feel supported by their co-workers on their professional outcome expectations and their ability to be more successful in their chosen career, in the context of Social Cognitive Career Theory (SCCT).Design/methodology/approachThe population of the study is physicians working in hospitals in Ankara. There are 37 hospitals under the Ministry of Health in the province. A total of 5,092 physicians work in these hospitals. In this study in which questionnaire technique was used, data were collected from 400 physicians by convenience sampling method. The data obtained were analysed by means of AMOS 22.0 and SPSS 26.0 package programs.FindingsAs a result of the regression analyses, it was determined that physicians' professional outcome expectancy had a positive and significant effect on career regret. In addition, it was determined that the perceived co-worker support variable did not have a moderating role effect in the relationship between physicians' professional outcome expectancy and career regret.Research limitations/implicationsIn this study, the moderating role of co-worker support in the effect of physicians' professional outcome expectations on career regrets is examined. Therefore, the sampling frame is limited to physicians.Practical implicationsBased on the fact that professional outcome expectation and co-worker support are very important variables for individuals with career regret, it emphasises that management activities carried out in health institutions should be carried out in a way that supports the career development of employees.Originality/valueThe tasks that physicians perform include many challenging elements. Therefore, the support they receive from their co-workers is critically important
Relationship between childhood traumas, cognitive distortions and aggression in forensic psychiatry patients aggression in forensic psychiatry patients
Full text linkAggression is a common problem in forensic psychiatric patients and an important problem for psychiatric nurses during the treatment, care and rehabilitation of patients. The aim of this study is to determine the relationship between childhood traumas, cognitive distortions and aggression in forensic psychiatry patients. This descriptive study was conducted with 103 forensic psychiatry patients treated in a high security forensic psychiatry hospital. The data of study were collected Introductory Information Form, Childhood Psychological Traumas Scale (CTQ), Cognitive Distortions Scale (CDS) and Buss-Perry Aggression Scale (BAQ). The data of the study were collected using the Introductory Information Form, the Childhood Trauma Questionnaire (CTQ), which assesses traumatic experiences in childhood; the Cognitive Distortions Scale (CDS), which measures dysfunctional thought patterns; and the Buss-Perry Aggression Questionnaire (BAQ), which evaluates levels of aggression. The study found a significant positive correlation among childhood traumas, cognitive distortions, and aggression, indicating that higher levels of childhood trauma and cognitive distortions are associated with increased aggression. This study highlights the importance of considering both early traumatic experiences and cognitive processes together in the management and prevention of aggression among forensic psychiatric patients. The findings emphasize the necessity of taking these factors into account for risk assessment and effective treatment planning. © 2025 Informa UK Limited, trading as Taylor & Francis Group
Effect of grape pomace on oxidative and microbial quality of chill-stored beef model systems
No full textGrape pomace, a by-product of winemaking, is rich in bioactive compounds and has recently attracted attention for its potential application in functional foods. In this study, grape pomace powder (GPP) derived from the local K¨ osetevek grape variety was incorporated into beef model systems at concentrations of 0.5 %, 0.75 %, and 1.0 % to evaluate its effects on oxidative and microbial stability. GPP supplementation significantly reduced lipid oxidation and metmyoglobin formation, and it also decreased lightness and yellowness values, resulting in a darker appearance in meat batters (p < 0.001). However, the 1.0 % GPP group did not provide additional oxidative protection compared to the 0.5 % and 0.75 % groups. Textural attributes such as hardness and chewiness were affected by GPP, with the 1.0 % group exhibiting the highest chewiness values (p < 0.001). Although microbial counts were lower in GPP-treated samples than in the control, all samples exceeded acceptable spoilage thresholds by day 6. Overall, GPP at concentrations up to 1.0 % may serve as a natural additive to improve the shelf life and functional quality of meat products
Fostering pre-service teachers’ critical and creative thinking dispositions through Literature Circles: a mixed-methods study
No full textThis study examined the impact of literature circles on pre-service teachers’ critical and creative thinking dispositions and to evaluate the practical significance of this method in terms of teacher education. During the first semester of the 2023–2024 academic year, 25 pre-service teachers were instructed to read assigned weekly short stories in accordance with the literature circle method and to discuss them collaboratively. The study evaluated the impacts of literature circles on critical and creative thinking within a single group, and the findings indicated a statistically significant difference in favour of the post-test results. Moreover, it was concluded that literature circles have considerable potential for enhancing skills, including textual analysis, evaluation of diverse perspectives, generation of critical and creative solutions, and thinking beyond conventional patterns. The integration of this method into teacher education programmes can facilitate the systematic development of critical and creative thinking skills among pre-service teachers. © 2025 Informa UK Limited, trading as Taylor & Francis Group