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Serebral palsi tanısı almış çocukların annelerine uygulanan 'Yetişkinler İçin Uyarlanmış Merhamet Temelli Eğitim Programı'nın merhamet, depresyon ve psikolojik dayanıklılık üzerindeki etkisinin incelenmesi
Get PDFBu araştırmanın amacı, Serebral Palsili (SP) çocukların annelerine uygulanan Yetişkinler İçin Uyarlanmış Merhamet Temelli Eğitim Programı'nın (YİUMTEP) merhamet, depresyon ve psikolojik dayanıklılık üzerindeki etkilerinin incelenmesidir. Araştırmada karma desen yöntemi kullanılmıştır. Araştırmanın evrenini Muş ili merkez ilçesindeki rehabilitasyon merkezlerinden hizmet alan SP'li çocukların anneleri oluşturmuştur. Bu araştırmanın örneklemini oluşturan 20 SP'li çocuğun annesi seçkisiz yöntemle belirlenmiş olup, 10'u kontrol 10'u deney olmak 2 gruba ayrılmıştır. Araştırmanın nicel verileri Bireysel Tanıtım Formu, Yetişkin Merhamet Ölçeği, Burns Depresyon Ölçeği ve Yetişkinler İçin Psikolojik Dayanıklılık Ölçeği kullanılarak elde edilmiştir. Nitel veriler ise yapılandırılmamış açık uçlu görüşme yürütme ve görüşme notlarından elde edilmiştir. Nicel verilerin analizinde IBM SPSS Statistics 27 paket programı kullanılmıştır. Nitel verilerin çözümlenmesinde içerik analizi kullanılmıştır. Araştırmada; deney ve kontrol gruplarının merhamet, depresyon ve psikolojik dayanıklılık düzeyleri arasında anlamlı bir fark olmadığı tespit edilmiştir. SP'li çocukların annelerinin merhamet, depresyon ve psikolojik dayanıklılık düzeylerinin yüksek olduğu saptanmıştır. Bununla birlikte YİUMTEP'ten sonra; deney grubunun merhamet düzeyi ve merhametin alt boyutlarından davranışsal merhamet düzeylerinin ilk ve son testleri arasında anlamlı bir fark (T2>T1), aynı grupta yer alan annelerin genel depresyon düzeyinde ilk testlerin son ve izlem testleri arasında anlamlı bir fark olduğu (T1>T2, T1>T3), ayrıca depresyonun alt boyutlarından aktiviteler ve kişisel ilişkilerin ilk test ile son ve izlem testleri arasında anlamlı bir fark olduğu (T1>T2, T1>T3), duygu ve düşünceler alt boyutunda ilk ve son test arasında anlamlı bir fark olduğu (T1>T2), duygu yitimi alt boyutunda ilk ve izlem testi arasında anlamlı bir fark olduğu (T1>T3) tespit edilmiştir. Kontrol gruplarının grup içi karşılaştırılmasında anlamlı bir fark belirlenmemiştir. Araştırmada YİUMTEP'in SP'li çocukların annelerinin merhamet ve depresyon üzerinde etkili olduğu, psikolojik dayanıklılıkları üzerinde ise kısmen etkili olduğu sonucuna ulaşılmıştır. Bu kapsamda YİUMTEP ve benzeri programların üniversite, Sivil Toplum Kurum/Kuruluşları (STK) ve Bakanlıklarca projelendirilip desteklenmesi önerilmektedir.This research aims to examine the effects of the Adapted Compassion-Based Education Program for Adults (ACBEPA) applied to mothers of children with Cerebral Palsy (CP) on compassion, depression, and psychological resilience. The mixed design method was used in the research. The research population consists of mothers of children with CP who receive service from rehabilitation centers in the central district of Muş province. The mothers of 20 children with CP, who constitute the sample of this research, were determined by random method and were divided into 2 groups: 10 control and 10 experimental. Quantitative data of the study were obtained using the Individual Information Form, Adult Compassion Scale, Burns Depression Scale, and Psychological Resilience Scale for Adults. Qualitative data was obtained from unstructured open-ended interviews and interview notes. IBM SPSS Statistics 27 package program was used to analyze quantitative data. Content analysis was used to analyze qualitative data. In the research; It was determined that there was no significant difference between the compassion, depression and psychological resilience levels of the experimental and control groups. It was found that mothers of children with CP had high levels of compassion, depression, and psychological resilience. However, after applying a compassion-based training program adapted for adults for 8 weeks; There was a significant difference between the first and last tests of the experimental group's compassion level and behavioral compassion levels, one of the sub-dimensions of compassion (T2>T1), and a significant difference between the first, last and follow-up tests in the general depression level of the mothers in the experimental group (T1>T2, T1>T3). ), there is also a significant difference between the first test and the last and follow-up tests (T1>T2, T1>T3), which are sub-dimensions of depression, activities, and personal relationships. There is a significant difference between the first and last test in the emotions and thoughts sub-dimension (T1>T2 ), it was determined that there was a significant difference between the initial and permanence test (T1>T3) in the emotion loss sub-dimension. A significant difference was defined in the intragroup comparison of the control groups. In the study, it was concluded that a compassion-based training program adapted for adults was effective on the compassion and depression of mothers of children with CP and was partially effective on their psychological resilience. In this context, it is recommended that compassion-based training program adapted for adults and similar programs be designed and supported by universities, Non-Governmental Organisations, and Ministries
A hub-and-spoke network design for relocating emergency service vehicles
No full textRelocation involves the repositioning of idle Emergency Service (ES) vehicles among stations in order to reduce the response time. It is well-known in the literature that relocating idle vehicles provides better coverage in the network, which in turn reduces the response time to the next call. In classical emergency service networks, idle vehicles can be relocated between any two stations. This can cause long delays and increase the response times. In this study, we proposed for the first time a hub-and-spoke network to efficiently realize the relocation of idle vehicles. The proposed hub-and-spoke structure consolidates relocations among hubs, while hub-spoke relocations are implemented as needed. Such a structure helps to better organize the simultaneous movements of ES vehicles for relocation. We have developed a mathematical model to maximize the expected safely covered population. The model provides both the hub-spoke topology and the relocation plan (a compliance table), which shows the desired stations of idle vehicles depending on the system state. In the literature, the relocation plan does not show the relocation paths (movements) of the vehicles. We have presented an exact algorithm that computes the relocation paths for all possible call cases and system levels in advance. This helps the dispatcher to manage the system effectively. We performed a detailed simulation study for ES vehicles of a natural gas distributor to demonstrate the real-life suitability of the proposed system. Compared to the classical relocation network structure, the proposed system has improved the response time, relocation time, and travel time especially when the system is busy. © 2024 Elsevier Lt
Psychological resilience and valued living in difficult times: mixed method research in cultural context
No full textValued living involves aligning one's actions with one's personal values, which can contribute to mental strength and psychological resilience. The present study aimed to examine the importance of living a valued life in maintaining mental strength, particularly during challenging times. In addition, it identifies the culturally relevant values that strengthen adults. Our study used both quantitative and qualitative methods. In the quantitative phase, 493 adults completed the following scales Valued Living Questionnaire (VLQ), Connor-Davidson Resilience Scale Short Form (CD-RISC-10), and Depression, Anxiety, and Stress Scale (DASS-21). We calculated Pearson's product-moment correlation coefficient and used structural equation modeling (SEM) to conduct the path analysis. For the qualitative phase, we recruited 15 participants from a larger quantitative sample based on their scores obtained on administered scales and conducted in-depth interviews along with researcher's journal and memos. Based on our quantitative findings, this study indicates that the concept of valued living serves as a mediating factor between psychological resilience and mental health outcomes. In our qualitative analysis, we identified certain values (e.g., acceptance, love, and goodwill) that serve to empower adults during challenging periods. The findings of this study are deemed to serve as a reference for the formulation and implementation of interventions intended to strengthen psychological resilience, from the viewpoints of both mental health specialists and psychological counselors
Environmental health risks faced by operating room nurses: A descriptive study
No full textBackground: There is limited research on the environmental risks faced by operating room nurses (ORNs). This prospective descriptive study aimed to identify the risk factors encountered by ORNs in their work environment. Methods: The study included 139 ORNs working in six hospitals in southeastern Turkey. Data were collected between September 2019 and February 2020 through a questionnaire using the Occupational Risk Factors Scale and analyzed using SPSS 22.0 software. Results: ORNs reported varying types and rates of risks, including radiation, biological, ergonomic, chemical, psychological, and physical risks. Common risk factors included infection, radiation and chemical exposure, musculoskeletal issues from prolonged standing, exposure to extreme cold, and heavy workloads. Risk levels vary based on age, education, experience, certification, and work assignment. Conclusions: These identified risk factors must be addressed by implementing national education programs focusing on factors influencing safety in ORs. © 202
The synergistic power of rosehip seed powder and aluminum chloride in steel industry wastewater treatment
Get PDFThis study investigates the efficiency of a hybrid coagulation–flocculation process for the treatment of industrial wastewater from the steel industry. The novel method combines a natural coagulant, processed Rosehip Seed Powder (RSP), with a chemical coagulant, aluminum chloride (AlCl3), across varying concentrations and pH levels. The study simulated the pH 8 conditions of iron and steel industrial wastewater and examined the removal of heavy metals, total suspended solids (TSS), chemical oxygen demand (COD), and ammonia–nitrogen (NH3-N). At pH 8, the optimal coagulant dosage was determined to be 0.75:0.75 (g/g) of RSP/AlCl3 powder, resulting in high removal efficiencies across several parameters: 88.29% for COD, 91.85% for color, 99% for TSS, 93.11% for NH3-N, 94.3% for Mn, 98.5% for Fe, 96.7% for Zn, and 99.3% for Ni. The pH optimization demonstrated high removal efficiencies without pH adjudication. The removal of heavy metals at pH 8 demonstrated high efficiencies, with Mn, Fe, Zn, and Al achieving 99.00%, 90.6%, 95.73%, and 92.3%, respectively. These results suggest that no pH adjustment is required when using RSP/AlCl3 for the treatment of iron and steel industry wastewater through the coagulation method. © 2024 by the authors
Comparison of adolescent and parental perception of health-related quality of life of adolescents with idiopathic scoliosis
Get PDFPurpose: Evaluation of the health-related quality of life (HRQoL) of individuals with idiopathic scoliosis (IS) is important because of the physical and psychosocial problems caused by IS. In general, children interact closely with their parents and are thus influenced by their parents’ opinions. It is thus useful to examine adolescent and parental perceptions of the adolescent’s HRQoL for the rehabilitation of individuals with IS. Methods: This study compared the adolescents’ and their parents’ perceptions of the adolescent’s HRQoL including 65 individuals with IS (10–18 years). It was used the pediatric quality of life inventory (PedsQL) to assess the adolescents’ HRQoL and to examine the domains of physical health, emotional functioning, social functioning, school functioning, and psychosocial health. Results: The results showed that the scores of the adolescents were higher than their parents’ in social functioning. Scores of social functioning and HRQoL were higher in girls than in their parents. Conclusion: This discrepancy between the adolescents and their parents may have a negative effect on their rehabilitation, healthy social integration, and adaptation of individuals with IS. Shedding light on the reasons for this discrepancy would be beneficial for raising the awareness of parents with children with IS about this issue
The effect of cognitive stimulation therapy (CST) on apathy, loneliness, anxiety and activities of daily living in older people with Alzheimer’s disease: randomized control study
No full textObjectives: This study was conducted to determine the effect of Cognitive Stimulation Therapy (CST) on apathy, loneliness, anxiety, and activities of daily living of individuals with Alzheimer’s disease. Method: The study was conducted in a daily care center between January 2023 and January 2024 in a randomized control study. A total of 52 people, 26 intervention and 26 control groups, were enrolled in the study and formed the sample of the study. Demographic Information Form, Apathy Evaluation Scale (AES-C), Geriatric Anxiety Scale (GAS), UCLA Loneliness Scale Short Form (UCLA-SF), and Functional Impairment in Dementia Scale (DAD) were used in the study. Results: After the intervention, it was found that the intervention group’s levels of apathy, loneliness and anxiety were significantly reduced compared to the control group. In the intra-group comparisons, it was found that there was a significant difference between the pre-test and post-test scores of the AES-C, UCLA-SF, GAS of the individuals in the intervention group after the application of CST, and between the pre-test and pre-test scores of the DAD (p < 0.05). Conclusion: CST was found to be effective in reducing apathy, loneliness and anxiety levels and increasing daily living activities in older people with Alzheimer’s disease
Salivary alpha amylase enzyme as a stress parameter: Establishment and comparison of laboratory methods
No full textAim: Salivary alpha ( alpha )-amylase enzyme is a biomarker used to measure sympathetic nervous system activity. This study aimed to establish three existing methods for measuring salivary alpha- amylase enzyme activity in the laboratory and to compare these methods in terms of their usability. Materials and Methods: alpha- amylase enzyme activity can be measured in ready-made kits by three methods: Starch-Iodine, 2-chloro-4-nitrophenyl maltotrioside (CNPG3) and dinitrosalicylic acid (DNS) methods. In this context, standard curves were created in the laboratory for manual study of these methods and their advantages and disadvantages were presented. The usability of these methods was tested. Results: The starch-iodine and CNPG3 methods were successfully established. However, although a standard curve was successfully established for the DNS method, this assay was not suitable for the studies as the samples were not readable and had many disadvantages. The test sensitivities and working ranges were appropriate for the starch-iodine and CNPG3 tests, requiring 4,000-fold dilution for the starch-iodine test and 5-fold dilution for the CNPG3 test. A weak but statistically significant positive correlation was observed between the two tests (R2=0.048 for linear regression; p<0.05, R2=0.106 for quadratic regression; p<0.01). Conclusion: The CNPG3 and starch-iodine methods were feasible, cost-effective, accessible, and time-efficient. The starch-iodine method is a cheaper but the CNPG3 method is also a practical test with fewer steps. In this respect, it has been decided that the CNPG3 method is the most effective method in studies based on salivary alpha- amylase enzyme method
İmge aydınlatma teknikleri üzerine bir araştırma ve imge aydınlatma kalitesinin değerlendirilmesinde yeni bir yaklaşım
Get PDFGünümüzde dijital imgeler günlük hayatımızın yanı sıra akademik ve bilimsel araştırmalar da dâhil olmak üzere birçok alanında kullanılmaktadır. Bu işlemlerde elde edilmiş olan imgelerin kalitesi uygulamanın verimini de doğrudan etkilemektedir. Dijital imgelerin kullanımını barındıran tüm uygulamalarda, dijital imgelerde ki aydınlatmanın geliştirilmesi çok büyük bir öneme sahiptir. İmgelerde ki aydınlatma geliştirme konusunda ki en büyük eksikliklerden bir tanesi de aydınlatma geliştirilmesinin sonuçlarının değerlendirilmesi hususunda sayısal bir değerlendirme yönteminin bulunmamasıdır. Bu tezde imgenin aydınlatma durumunun (kontrast, parlaklık vb.) sayısal bir yöntemle ölçüldüğü bir yaklaşım ortaya konulmuştur. Ortaya koyulan bu yaklaşım giriş imgesinin tahmini Gauss dağılımını ve bu dağılımın Kullback-Leibler Diverjansını ve ayrıca ölçümler ve hesaplamalar sonucu beklenen Gauss dağılımını ele almaktadır. Sonuçlar bölümünde ise, deneysel çalışmaların çıktıları önerilen yöntemin, imge aydınlatma kalitesinin değerlendirilmesi konusunda ki etkilerini ve doğruluğunu ortaya koymaktadır.Presently, digital images are used in many parts of the daily life and various fields of academic and scientific researches. These applications depend on the quality of the image obtained. Illumination enhancement is required for all the applications which are using digital images in some part, to make them work properly, also assessment of the illumination quality is, as important as the illumination enhancement for comparing images and having an idea about the proposed output of the academic research results in the field of digital image processing. Illumination problems has become a demanding matter in various applications of digital image processing. A relevant argument in the field of illumination enhancement is lack of a quantitative measurement method to assess the illumination of an image. A quantitative measurement that is demonstrating the illumination case (contrast level, brightness etc.) of an image is proposed. Proposed new approach in this thesis, appropriates the input image's estimated Gaussian distribution and the Kullback-Leibler Divergence of the estimated Gaussian distribution and the expected Gaussian distribution for measurement and the calculations. In the results part, the experimental works show the influence and the accuracy of the proposed approach for the assessment of image illumination quality
Design-based digital story program: Enhancing coding and computational thinking skills in early childhood education
Get PDFThe domain of early childhood education has witnessed an increasing emphasis on developing coding and computational thinking (CT) abilities. Scholarly investigations have delved into appropriate approaches for enhancing these proficiencies within early childhood classrooms. The present study aims to investigate the impact of a digital story design program, or Design-Based Digital Story Program (DBDS), on the coding and CT skills of 5-year-old children. Specifically designed for children aged 3–6, the DBDS program aligns with constructivism principles, which promote experiential learning. Employing a case–control quasi-experimental design, the study employed pre-intervention and post-intervention assessments and a follow-up retest after one month. The intervention involved implementing the digital story design program over 11 weeks, with three sessions per week, each lasting between 60 to 90 min, targeting five-year-old participants. The findings reveal that the DBDS program significantly enhances CT and coding skills compared to a control group. Moreover, female participants exhibited more significant improvements in CT skills post-intervention than their male counterparts, while no significant gender-based effects were observed in coding skills. These findings suggest that the DBDS program effectively supports the cultivation of coding and CT abilities among young children, warranting further exploration in diverse educational settings and across various grade levels. © The Author(s) 2024