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Evaluation of the effect of proximal massage and palm fisting in reducing the risk of peripheral venous catheter-related phlebitis: randomized control study
No full textAims Peripheral venous catheter (PVC) is a clinical procedure often performed by nurses in hospitals. Phlebitis can be prevented with more nursing care by applying PVC by trained nurses and using preventive methods. The aim of this study was to investigate the effect of proximal massage and palm fisting on the prevention of phlebitis in patients with a PVC. Methods This randomized controlled study was conducted with patients who were hospitalized in the orthopaedics and traumatology and results service of a state hospital and had PVC. While the study group (n = 36) received proximal massage and palm fisting on the side with a PVC, the control group (n = 36) received standard care for PVC. The data were collected by using the ‘Patient Demographics and Clinical Information Form’, ‘Peripheral Venous Catheter-Related Phlebitis Risk Scale’, and ‘Visual Infusion Phlebitis Assessment Scale’. There were no statistically significant differences between the groups regarding phlebitis development based on age, sex, chronic disease status, PVC insertion site, devices in the PVC, or fluids administered from the PVC. However, there was a significantly higher risk of PVC-induced phlebitis in patients who received proximal massage and palm fisting at 48 and 96 h, when the severity of phlebitis was evaluated on daily basis. Conclusion The study showed promising results, suggesting that proximal massage and palm fisting may be a simple and inexpensive technique to prevent the occurrence of phlebitis in PVC patients. Registration ClinicalTrials.gov: NCT05714137 © The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology
Deprem döneminde belirsizliğe tahammülsüzlük düzeyinin çalışanların iş stresi üzerindeki etkisinde psikolojik iyi oluşun aracılık rolü
Get PDFBu çalışmada deprem döneminde belirsizliğe tahammülsüzlük düzeyinin çalışanların iş stresi üzerindeki etkisinde psikolojik iyi oluşun aracılık rolü araştırılmıştır. Bu kapsamda Gaziantep ilinde çeşitli sektörlerde faaliyet gösteren işletmelerde çalışan 1.041 kişiye belirsizliğe tahammülsüzlük, algılanan stres ve psikolojik iyi oluşu ölçmeye yönelik sorulardan oluşan 34 soruluk anket, 06.02.2023 Pazarcık merkezli deprem sonrası ilk altı aylık dönemde uygulanmıştır. Toplanan veriler SPSS, Process Makro ve Amos programları kullanılarak analiz edilmiştir. Yapılan analizler sonucunda belirsizliğe tahammülsüzlük düzeyinin iş stresini negatif ve anlamlı, psikolojik iyi oluşu pozitif ve anlamlı yönde etkilediği görülmüştür. Ayrıca belirsizliğe tahammülsüzlük düzeyinin iş stresi üzerindeki etkisinde psikolojik iyi oluşun aracılık rolü olduğu tespit edilmiştir.In this study, the mediating role of psychological well-being in the effect of intolerance of uncertainty level on employees' work stress during the earthquake period was investigated. In this context, a 34-question survey consisting of questions to measure intolerance of uncertainty, perceived stress and psychological well-being was applied to 1,041 people working in businesses operating in various sectors in Gaziantep province, in the first six months after the earthquake centered in Pazarcık on 06.02.2023. The collected data were analyzed using SPSS, Process Makro and Amos programs. As a result of the analyses, it was seen that the level of intolerance to uncertainty affected work stress negatively and significantly, and psychological well-being positively and significantly. Additionally, it has been determined that psychological well-being has a mediating role in the effect of intolerance of uncertainty level on work stress. Keywords: Key Words: Intolerance of Uncertainty, Work Stress, Psychological Well-Being, Earthquak
Investigation of sleep and affecting factors in coronary artery bypass graft surgery
Get PDFObjective: The aim of this study was to evaluate the sleep perceptions and factors influencing sleep during the early postoperative period in patients who underwent coronary artery bypass graft (CABG) surgery. Materials and Methods: This descriptive study included 92 volunteer patients who underwent CABG surgery between September 1, 2019, and February 1, 2020. Data were collected using the 2nd, 3rd, 4th Richards-Campbell sleep questionnaire (RCSQ) and a postoperative sleep-affecting factors form. The study was reported using the STROBE checklist. Statistical significance was set at p<0.05. Results: The mean age of the participating patients was 60.72±8.95, with 68.5% aged ≤65 years, 73.9% male, and 85.9% having a body mass index ≥25 kg/m2. The RCSQ total sleep perception scores of the patients were evaluated as 15.88±12.50 on the second day, 24.76±7.50 on the third day, and 32.35±7.56 on the fourth day after the postoperative period. When comparing the mean RCSQ scores with the descriptive characteristics of the patients, no statistically significant difference was found (p>0.05). During the postoperative period, patients reported that factors such as pain, frequent medical interventions, fear of sudden deterioration of their condition, fear of death, and being away from home in an unfamiliar environment had a significant impact on their sleep. Conclusion: The mean RCSQ scores of patients who underwent CABG surgery were found to be very poor on the second and third days postoperatively and worsened on the fourth day
Paketli atıştırmalık besinlerin besin ögesi örüntü profillerinin üç farklı önyüz etiketleme yöntemi ile değerlendirilmesi
Get PDFBu çalışma paketli atıştırmalık besinlerin besin ögesi örüntü profillerinin üç farklı önyüz etiketleme yöntemi ile değerlendirilmesi, sağlıklı atıştırmalıkların belirlenmesi ve tüketicinin sağlıklı seçimler yapabilmesi için bilinçlendirilmesi ve gıda sanayinin ürünlerinde reformülasyona gidebilmesi amacıyla planlanmış ve yürütülmüştür. Çalışma için Migros sanal market tercih edilmiştir. Çalışmaya barlar, bisküviler, mısır bazlı cipsler, patates bazlı cipsler, meyve-sebze cipsleri, kurubaklagil (mercimek-nohut) bazlı cipsler, çikolatalar, gofretler, kekler, krakerler, kuruyemişler, kahvaltılık gevrekler, meyve bazlı atıştırmalıklar, mısır patlakları ve şekerlemeler dahil edilmiştir. Atıştırmalık ürünlerin 100 gram etiket verileri dikkate alınarak enerji ve besin ögeleri forma kaydedilmiştir. Daha sonra Nutri-score, Choices Programı ve Trafik İşaretleri besin ögesi örüntü profillerine göre değerlendirmeleri yapılmıştır.Verilerin analizi IBM SPSS v27 ile yapılmıştır. Nicel verilerin gösteriminde tanımlayıcı istatistik olarak ortalama±standart sapma ile minimum-maksimum verilmiştir. Kategorik verilere ait tanımlayıcı istatistiklerde ise n ve % verilmiştir. Ürünlerin etiket verilerine ulaşılma oranı %89,9 olarak bulunmuştur. Etiket verisine en çok ulaşılan %100 oranıyla mısır patlakları olurken en az ulaşılan ise %71,4 oranıyla diğer cipsler olmuştur. Genel olarak paketli atıştırmalık ürünlerin enerji, karbonhidrat, şeker, yağ, doymuş yağ asidi, trans yağ asidi değeri yüksekken; posa ve protein değeri düşük çıkmıştır. Nutri-score besin ögesi örüntü profiline göre değerlendirildiğinde bütün atıştırmalıkların %69,6'sı D ve E kategorisinde yer almaktadır. Choices Programı besin ögesi örüntü profiline göre değerlendirildiğinde çikolata ve gofretlerin tamamı (%100) keklerin ise %94,2'si doymuş yağ asidi bakımından; kuruyemişler ve çikolatalar hariç diğer bütün atıştırmalık ürünlerin tamamı (%100) ve çikolataların %99,5'i toplam şeker bakımından kriterleri sağlamamıştır. Trafik ışığı etiketleme sistemine göre çikolataların ve gofretlerin tamamı (%100), keklerin %98,8'i ve bisküvilerin %93,4'ü doymuş yağ asidi bakımından; gofretlerin tamamı (%100), çikolataların %96,7'si ve cipslerin %93,2'si yağ bakımından kırmızı renk kodlu olarak bulunmuştur. Bu çalışmada paketli atıştırmalık ürünlerin sağlıklı yiyecekler açısından çok sınırlı olduğu saptanmıştır. Toplumun bilgilendirilmesi ve paket önü etiketleme sistemi üzerinde kanun yapıcıların eyleme geçmesi gerekmektedir.This study was planned and conducted to evaluate the nutritional element pattern profiles of packaged snack foods with three different front-end labeling methods, to identify healthy snacks and to raise awareness among consumers so that they can make healthy choices, and to enable the food industry to reformulate its products. Migros virtual market was preferred for the study. The study included bars, biscuits, corn-based chips, potato-based chips, fruit-vegetable chips, legume (lentil-chickpea)-based chips, chocolates, wafers, cakes, crackers, nuts, breakfast cereals, fruit-based snacks, popcorn and confectionery. Energy and nutritional elements of snack products were recorded on the form, taking into account 100-gram label data. Then, the evaluations were made according to the Nutri-score, Choices Program and Traffic Signs nutrient pattern profiles. Data analysis was done with IBM SPSS v27. In the presentation of quantitative data, mean±standard deviation and minimum-maximum were given as descriptive statistics. In descriptive statistics for categorical data, n and % are given. The rate of accessing product label data was found to be 89.9%. While popcorn had the most label data available at 100%, other chips had the least label data available at 71.4%. In general, packaged snack products have high energy, carbohydrate, sugar, fat, saturated fatty acid, and trans fatty acid values, while their fiber and protein values are low. When evaluated according to the Nutri-score nutrient pattern profile, 69.6% of all snacks are in categories D and E. When the Choices Program was evaluated according to the nutritional element pattern profile, all chocolates and wafers (100%) and 94.2% of cakes did not meet the criteria in terms of saturated fatty acids; all other snack products except nuts and chocolates (100%) and 99.5% of chocolates did not meet the criteria in terms of total sugar. According to the traffic light labeling system, all chocolates and wafers (100%), 98.8% of cakes and 93.4% of biscuits were found to be red color coded in terms of saturated fatty acids; all wafers (100%), 96.7% of chocolates and 93.2% of chips were found to be red color coded in terms of fat. This study found that packaged snack products are very limited in terms of healthy foods. The public needs to be informed and lawmakers need to take action on the front-of-pack labeling system
Classical 1-absorbing primary submodules
Get PDFOver the years, prime submodules and their generalizations have played a pivotal role in commutative algebra, garnering considerable attention from numerous researchers and scholars in the field. This papers presents a generalization of 1-absorbing primary ideals, namely the classical 1-absorbing primary submodules. Let R be a commutative ring and M an R-module. A proper submodule K of M is called a classical 1-absorbing primary submodule of M, if xyz eta is an element of K for some eta is an element of M and nonunits x,y,z is an element of R, then xy eta is an element of K or zt eta is an element of K for some t >= 1. In addition to providing various characterizations of classical 1-absorbing primary submodules, we examine relationships between classical 1-absorbing primary submodules and 1-absorbing primary submodules. We also explore the properties of classical 1-absorbing primary submodules under homomorphism in factor modules, the localization modules and Cartesian product of modules. Finally, we investigate this class of submodules in amalgamated duplication of modules
Son mil teslimat faaliyetlerinde bulunun motorlu kuryelerde iş motivasyonu, iş tatmini ve örgütsel bağlılık ilişkisi
Get PDFBu çalışma, son mil teslimat faaliyetlerinde bulunan motorlu kuryelerin iş motivasyonu, iş tatmini ve örgütsel bağlılıklarının önemine odaklanmaktadır. Araştırmanın temel amacı, motorlu kuryelerin çalışma deneyimlerini derinlemesine inceleyerek, özellikle iş motivasyonu, iş tatmini ve örgütsel bağlılık açılarından değerlendirmektir. Son mil teslimat hizmetlerinin, e-ticaretin hızla büyümesi ve tüketicilerin taleplerinin değişmesiyle birlikte giderek daha fazla önem kazandığı göz önüne alındığında, bu araştırma motorlu kuryelerin iş deneyimlerini anlamanın ve işletmeler için verimliliği artırmanın kritik bir unsur olduğunu vurgulamaktadır. Bu araştırma, Gaziantep ilinde son mil teslimatında görev alan motorlu kuryeler üzerinde yoğunlaşmıştır. Veri toplama sürecinde anket yöntemi kullanılmış ve elde edilen veriler SPSS 21.0 istatistik paketi ile analiz edilmiştir. Bulgulara göre, katılımcıların çoğunluğunun erkek olduğu, genellikle 26-33 yaş aralığında olduğu ve lisans düzeyinde eğitim aldığı belirlenmiştir. Ayrıca, katılımcıların çoğunluğunun evli olduğu ve aylık gelirlerinin 25.001 TL ile 30.000 TL arasında olduğu tespit edilmiştir. Ölçeklerin yapı geçerliliği ve güvenilirliği yüksek bulunmuş ve analiz için uygun olduğu sonucuna varılmıştır. İş motivasyonunun iş tatmini üzerinde pozitif bir etkisi olduğu ve iş tatmininin de örgütsel bağlılık üzerinde olumlu bir etkiye sahip olduğu bulgusu önemlidir. Ayrıca, iş tatmininin ve motivasyonun örgütsel bağlılık üzerindeki değişimin büyük bir kısmını açıkladığı görülmüştür. Yapılan aracılık analizi sonucunda, iş tatmininin motivasyon ile örgütsel bağlılık arasındaki ilişkiye aracılık ettiği bulgusu elde edilmiştir. Bu araştırmanın bulguları, motorlu kuryelerin iş deneyimlerini anlamak ve iyileştirmek için önemli bir yol haritası sunmaktadır. İşletme yöneticileri ve insan kaynakları uzmanları, bu bulguları dikkate alarak çalışanların motivasyonunu ve tatminini artırmak için stratejiler geliştirebilirler. Bu stratejiler, hem çalışan memnuniyetini artırabilir hem de işletmelerin verimliliğini ve rekabet gücünü artırabilir. Dolayısıyla, bu araştırmanın sonuçlarının işletmeler tarafından değerlendirilmesi ve ilgili stratejik kararların alınması önemlidir.This study focuses on the importance of work motivation, job satisfaction and organizational commitment of motor couriers engaged in last mile delivery activities. The main purpose of the research is to examine in depth the working experiences of motor couriers and evaluate them, especially in terms of work motivation, job satisfaction and organizational commitment. Given that last-mile delivery services are becoming increasingly important as e-commerce grows rapidly and consumers' demands change, this research highlights that understanding the work experiences of motor couriers and improving efficiency for businesses is a critical element. This research focused on motorized couriers involved in last mile delivery in Gaziantep province. Survey method was used in the data collection process and the data obtained was analyzed with the SPSS 21.0 statistical package. According to the findings, it was determined that the majority of the participants were male, generally between the ages of 26-33, and had undergraduate education. Additionally, it was determined that the majority of the participants were married and their monthly income was between 25,001 TL and 30,000 TL. The construct validity and reliability of the scales were found to be high and it was concluded that they were suitable for analysis. The finding that work motivation has a positive effect on job satisfaction and job satisfaction has a positive effect on organizational commitment is important. Additionally, it has been observed that job satisfaction and motivation explain a large part of the change in organizational commitment. As a result of the mediation analysis, it was found that job satisfaction mediates the relationship between motivation and organizational commitment. The findings of this research provide an important road map for understanding and improving the work experiences of motor couriers. Business managers and human resources experts can develop strategies to increase employee motivation and satisfaction by taking these findings into account. These strategies can both increase employee satisfaction and increase the efficiency and competitiveness of businesses. Therefore, it is important for businesses to evaluate the results of this research and make relevant strategic decisions
Gender differences in human behaviors during an earthquake
No full textThis study aims to determine whether human behavior in buildings during an earthquake varies according to gender. The history of devastating earthquakes in Turkey, including the 7.4 magnitude earthquake in Istanbul in 1999, the 6.8 magnitude earthquake in Elazığ in 2020, the 7.7 and 7.6 magnitude earthquakes in Kahramanmaraş in 2023, affecting 11 provinces, and the expected devastating earthquake in Istanbul, experts warn, underscores the urgency of understanding human reactions during seismic events. This study, which is currently part of a project supported by The Scientific and Technological Council of Turkey (TUBITAK, 121K930 project number), examines the indoor recordings during the earthquakes in Elazig on January 24, 2020, and in İzmir on October 30, 2020, and also analyzes the people’s behavior during the earthquake. In this direction, video recordings taken from the YouTube, archives of İzmir and Elazığ AFAD Directorates and metropolitan municipalities are examined. A total of 60 video analyzes are carried out from Elazığ and İzmir. The descriptive statistic has been used with the SPSS 23.0 package program in the data analysis. The results shows that women mostly took protective measures and exhibited human-oriented behavior. In contrast, men were mainly remaining stable or heading toward the door. Unlike the literature, these findings reveal that human behavior during earthquakes cannot be reduced to a single behavior pattern, such as drop-cover-hold-on. According to the results, it is necessary to understand the behaviors of individuals during the earthquake by considering gender and sociocultural variables and to develop practical policy proposals. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2024
The effect of nivolumab in pediatric malignant tumors: A single center experience with nine children
No full textNivolumab is an inhibitor of programmed cell death 1 (PD-1), which enables activated T cells to attack the tumor cells. Although the utilization of nivolumab in adulthood cancers is more common, experience in childhood has been increasing recently. Herein, pediatric cases received nivolumab for distinct cancers are presented. The data of nine patients under the age of 18 years who received nivolumab for various cancers in the Pediatric Oncology clinic between January 2019-December 2022 were obtained. Nivolumab was administered intravenously at a dose of 3 mg/kg with 30 minutes infusion every two weeks. Patients' clinical, cancer types, response to primary treatment, comorbidities, and outcomes of nivolumab were evaluated. Nivolumab was utilized for non-Hodgkin lymphoma, classical Hodgkin lymphoma (cHL), central nervous system, germ cell and gastrointestinal system cancers. Four out of nine patients had constitutional mismatch repair deficiency (CMMRD) syndrome and 2/4 patients developed secondary cancers during the nivolumab. The median dose and duration of nivolumab were 10 doses (4-32 doses) and 6 months (2 to 17 months), respectively. The median follow-up period was 25 months (2-46 months). Nivolumab achieved progression free survival in immature teratoma, cHL and T-Lymphoblastic lymphoma (T-LBL) with 46 months, 22 months, and 31 months, respectively. Only one patient had severe generalize edema attributed to nivolumab. We observed that although encouraging outcomes with nivolumab in cHL, immature teratoma and T-LBL, it failed to prevent glioblastoma progression in children with CMMRD. In summary, nivolumab may be effective in selected childhood cancers
Bibliometric ınsights into car wash wastewater treatment research: Trends and perspectives
Get PDFCar wash wastewater (CWW) poses a significant environmental danger due to its high chemical oxygen demand (COD), heavy metals, and anionic surfactant complex composition, all of which can have an adverse effect on the environment. Even with the extensive research on CWW treatment, further study is necessary to improve our comprehension in this field. With an emphasis on CWW treatment processes and research trends, this study offers a comprehensive bibliometric analysis of 208 articles from the Scopus database. The analysis reveals that more than 55.77% of the research publications were released within the last five years, suggesting that there is increasing interest in the treatment of CWW. According to the data, the most important journal in this field is Desalination and Water Treatment. China and India were major research contributors. The main research directions in this area are properly indicated by the frequently used keywords “carwash wastewater”, “electrocoagulation”, “wastewater treatment”, and “water reuse”, according to an analysis of the keywords. Electrocoagulation, coagulation, and adsorption are common methods that are gaining popularity. In recent years, the most often researched CWW contaminants included those measured by COD and heavy metals. The results of this research offer an overview of recent developments. © 2024 by the authors
El osteoartritli hastalarda nöromobilizasyon, tendon kaydırma ve robotik yardımcı cihaz kullanımının ağrı, kavrama kuvveti ve el fonksiyonlarına etkisinin araştırılması
Get PDFEl osteoartritli hastalarda nöromobilizasyon, tendon kaydırma ve robotik yardımcı cihaz kullanımının ağrı, kavrama kuvveti ve el fonksiyonlarına etkisini araştırmak amaçlandı. Çalışmaya 30 kadın, 9 erkek ve yaşları 45-87 yıl arasında değişen 39 hasta dahil edildi. Bireyler nöromobilizasyon (n=13), tendon kaydırma (n=13) ve robotik yardımcı cihaz (n=13) grubu olarak üç gruba ayrıldı. Tüm gruplara egzersiz eğitimi verildi. Nöromobilizasyon (NM) grubuna ek olarak median, ulnar ve radial sinir mobilizasyonu, tendon kaydırma (TK) grubuna tendon kaydırma egzersizleri, robotik yardımcı cihaz (RYC) grubuna robotik eldiven ile pasif eklem hareketleri uygulandı. Bireyleri değerlendirmek için vizüel analog skalası (VAS), Avustralya- Kanada el osteoartrit indeksi (AUSCAN), McGgill Ağrı Ölçeği, kol, omuz ve el sorunları hızlı anketi (QUİCK DASH), jebsoen taylor el fonksiyon testi (JHFT) ve dinamometre kullanıldı. Çalışma 8 hafta, haftada 3 gün olarak yapıldı. Ağrı açısından incelendiğinde NM ve TK grubunda RYC grubuna göre anlamlı fark görüldü(p<0.05). Çalışma boyunca NM ve TK gruplarında ağrı azalırken RYC grubunda ağrı değişmedi (p>0.05). Kavrama kuvveti tüm gruplarda çalışma boyunca gelişme gösterdi, istatistiksel açıdan anlamlı değildi (p>0.05) ve fakat gruplar arasında fark görülmedi. AUSCAN ve QUICKDASH skorlarında bütün gruplarda tedavi öncesi ve sonrası karşılaştırmada iyileşme görüldü (p<0.05). NM ile TK grupları QUICKDASH skoru kıyaslamasında iyileşme NM grubu lehineydi (p<0.05). Sonuç olarak el OA'da ağrı kontrolü için NM ve TK uygulamaları tercih edilebilirken kavrama kuvveti ve fonksiyonel durumda iyileşme sağlamak için NM, TK ve RYC uygulamalarının üçü de birbirine alternatif kullanılabilir. Robotik cihazların rehabilitasyon programlarında yerini almasıyla beraber giyilebilir cihazların kullanıldığı çalışmalarda farklı fizyoterapi teknikleri ile karşılaştırıldığı çalışmalar yapılarak etkinliği araştırılabilir.It was aimed to investigate the effects of neuromobilization, tendon gliding and robotic assistive device use on pain, grip strength and hand functions in patients with hand osteoarthritis. The study included 30 women, 9 men and 39 patients aged between 45 and 87 years. Individuals were divided into three groups: neuromobilization (n=13), tendon gliding (n=13) and robotic assistive device (n=13) groups. Exercise training was given to all groups. In addition to the neuromobilization (NM) group, median, ulnar and radial nerve mobilization, tendon gliding exercises were applied to the tendon gliding (TG) group, and passive joint movements with robotic gloves were applied to the robotic assistive device (RYC) group. Visual analogue scale (VAS), Australian-Canadian hand osteoarthritis index (AUSCAN), McGgill Pain Scale, arm, shoulder and hand problems quick questionnaire (QUICK DASH), Jebsoen Taylor hand function test (JTHF) and dynamometer were used to evaluate the individuals. The study was conducted for 8 weeks, 3 days a week. When examined in terms of pain, a significant difference was seen in the NM and TG groups compared to the RYC group (p <0.05). While pain decreased in the NM and TG groups throughout the study, the pain did not change in the RYC group (p>0.05). Grip strength improved throughout the study in all groups, although it was not statistically significant (p>0.05) and there was no difference between groups. An improvement was seen in AUSCAN and QUICKDASH scores in all groups before and after treatment (p<0.05). When comparing the QUICKDASH score between NM and TG groups, the improvement was in favor of the NM group (p<0.05).As a result, while NM and TG applications can be preferred for pain control in hand OA, all three of the NM, TG and RYC applications can be used as alternatives to each other to improve grip strength and functional status. As robotic devices take their place in rehabilitation programs, the effectiveness of wearable devices can be investigated by comparing them with different physiotherapy techniques