İzmir Kavram Vocational School Institutional Repository
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The Effect of nutrition education on ıntradialytic weightgain in haemodialysis patients: systematic review andmeta-analysis
No full textAim: This systematic review and meta-analysis aimed to determine the impact of nutrition education on intradialytic weightgain (IDWG) in haemodialysis (HD) patients based on primary studies.Design: Systematic review and meta-analysis.Methods: Ten databases were searched for randomised controlled trials between November 1st and November 30th, 2022. Atotal of 20 studies met the inclusion criteria and were analysed.Results: The meta-analysis of 15 studies examining the effects of nutrition education on IDWG showed a statistically significantdifference between the experimental and control groups (p < 0.0001). Subgroup analysis based on the duration of data collectionindicated that this significant effect persisted in the 1st and 2nd months, as well as the 3rd and 4th months, but was not signifi-cant in the 5th and 6th months (p = 0.15).No Patient or Public Contribution: No patient or public contribution was used
The Impact of migration on the lives of refugees with chronic renal failure: a case study
No full textAmaç: Türkiye, coğrafi konumu nedeniyle tarih boyunca çeşitli sebeplerle sığınılan ülke konumunda olmuştur ve göç almaya devam etmektedir. Bilinmezliklerle dolu zorlu bir süreç olan göç, kronik hastalık tanısı olan bireylerde tedavinin sürmesi ve takibin devamlılığına dair derin endişe ve korku duyulmasına neden olabilmektedir. Kronik böbrek yetmezliği hastalığı, böbrek işlevlerini yerine getiremez hale geldiğinde ortaya çıkan, geri dönüşümü mümkün olmayan kronik bir hastalıktır ve Türkiye’de olduğu gibi tüm dünyada önemli, yaygın bir sağlık problemidir. Bu araştırma, göçü deneyimlemiş, kronik böbrek yetmezliği hastalığına sahip olan mültecilerin, göç öncesinde, göç sırasında ve göç sonrasında olmak üzere yaşadıkları deneyimler üzerinden; menşei ülkelerinde ve sığındıkları yeni yerleşim ülkelerinde aldıkları hemodiyaliz tedavi süreçlerini araştırmak ve yaşamları üzerindeki etkilerini değerlendirmek amacıyla gerçekleştirilmiştir.
Yöntem: Araştırma verileri; etik kurul ve kronik böbrek yetmezliği hastalığına sahip, Irak doğumlu, 29 yaşındaki olgu gönüllü bir katılımcının izni doğrultusunda, yarı yapılandırılmış görüşme formunun kullanıldığı, derinlemesine görüşmeler ile elde edilen nitel bir araştırmanın sonucudur.
Bulgular: Araştırmada, derinlemesine görüşme yöntemiyle elde edilen veriler doğrultusunda “Göç Öncesi Menşe Ülkede Alınan Hemodiyaliz Tedavisine İlişkin Deneyimler”, “Göç Yolculuğu Sırasındaki Hastalığa İlişkin Deneyimler” ve “Göç Sonrası Yeni Yerleşim Ülkesinde Alınan Hemodiyaliz Tedavisine İlişkin Deneyimler” olmak üzere üç ana tema belirlenmiştir. Bulgular, katılımcının menşe ülkesinde sağlık hizmetlerine erişimde yaşadığı zorluklar, göç sürecinde tedaviye ara vermenin yarattığı sağlık problemleri ve Türkiye’deki tedavi sürecinde karşılaştığı olumlu ve olumsuz deneyimler üzerine odaklanmaktadır. Özellikle Türkiye’deki evde hemodiyaliz uygulamasının katılımcının yaşam kalitesini artırdığı tespit edilmiştir.
Sonuç: Çalışmanın sonucunda, kronik böbrek yetmezliği hastası mültecinin, tedavi sürecinde ülkelerin mültecilere uyguladığı politikalar nedeniyle birçok güçlükle mücadele etmek zorunda kaldığı saptanmıştır. Olgu üzerinden kronik böbrek yetmezliği ile yaşayan bir mültecinin zorlu yaşam süreçleri somut olarak görüldüğünden; insan hakları kapsamında hak ve hizmetlere erişim ihtiyaçlarına yönelik öneriler sunulmuştur.Aim: Due to its geographical location, Turkey has been a country of refuge for various reasons throughout history and continues to receive migration. Migration, which is a challenging process full of unknowns, can cause deep anxiety and fear about the continuity of treatment and follow-up in individuals diagnosed with chronic diseases. Chronic kidney disease is an irreversible chronic disease that occurs when the kidney becomes unable to fulfill its functions and is an important and widespread health problem all over the world as well as in Turkey. This research was conducted to investigate the hemodialysis treatment processes of refugees with chronic renal failure who have experienced migration, both in their countries of origin and in their new countries of asylum, and to evaluate the effects on their lives through their experiences before, during and after migration.
Method: The research data is the result of a qualitative research conducted with in-depth interviews using a semi-structured interview form in accordance with the ethics committee and the permission of a volunteer participant 29 years old, born in Iraq, with chronic renal failure.
Results: Based on the data obtained through in-depth interviews, three main themes were identified: “Experiences of Hemodialysis Treatment in the Country of Origin Before Migration,” “Experiences Related to Illness During the Migration Journey,” and “Experiences of Hemodialysis Treatment in the New Settlement Country Post-Migration.” The findings focus on the participant's challenges in accessing healthcare services in their country of origin, health issues arising from interruptions in treatment during the migration process, and both positive and negative experiences encountered during the treatment process in Turkey. Notably, it was determined that home hemodialysis practices in Turkey significantly improved the participant’s quality of life.
Conclusion: As a result of the study, it was determined that the refugee with chronic renal failure had to struggle with many difficulties during the treatment process due to the policies that countries apply to refugees. Since the difficult life processes of a refugee living with chronic renal failure were seen concretely through the case, recommendations were presented for the needs of access to rights and services within the scope of human rights
Climate change related health problems and awareness of nursing students: a cross-sectional study
No full textClimate change can trigger many health problems, from air quality to water resources, from food safety to infectious diseases. Developing nurses' knowledge and skills about the effects of climate change on health can make significant contributions to efforts to protect and improve public health. The aim of the study is to examine the health problems of nursing students related to climate change and determine their awareness and behaviors. This descriptive study included 386 students. Data were collected using the Individual Identification Form and the Climate, Health, and Nursing Scale. The mean age of the participants was 21.62 ± 3.89; 70% were female, and 47% were 4th-year students. Students who were informed about climate change had higher levels of knowledge, awareness, motivation, and behavior. It was concluded that students' knowledge about climate change had a positive effect on motivation and anxiety levels; while it did not have a significant effect on knowledge and awareness dimensions. Female students have higher levels of motivation and anxiety, which may play a role in shaping gender norms' sensitivity and responses to climate change
Comparative effects of hip capsule repair and cam lesionexcision on capsulotomy healing: An in vivobiomechanical and histological analysis
No full textPurpose: This study evaluates the effects of hip capsule repair and camlesion excision on capsular healing by assessing biomechanical strengthand histological integrity in an in vivo rabbit model.Methods: An in vivo rabbit model with 80 rabbits was used, where cap-sulotomy was performed on the right hip of each subject. The rabbits wereassigned into four groups: Group 1 (capsulotomy without repair), Group 2(capsulotomy with capsule repair), Group 3 (capsulotomy + cam resectionwithout repair), Group 4 (capsulotomy + cam resection + capsule repair).Each group was stratified into 4‐week and 8‐week follow‐up subgroups.Biomechanical testing assessed maximum tensile strength, while histolog-ical evaluation included semiquantitative grading of collagen arrangement,inflammatory response, osteogenesis, and angiogenesis.Results: Histological analysis revealed superior healing in the capsulerepair + cam resection group (Group 4) compared to the unrepaired cap-sulotomy group (Group 1) (p = 0.01). Biomechanical testing demonstratedthat capsule repair (Group 2) improved strength over unrepaired capsu-lotomy (135.2 N vs. 111.9 N, p = 0.03). Cam resection alone (Group 3)resulted in significantly higher strength than unrepaired capsulotomy(163.2 N vs. 111.9 N, p = 0.01). The combination of cam resection andcapsule repair (Group 4) demonstrated superior strength, outperformingcapsule repair alone (176 N vs. 135.2 N, p = 0.01). At 8 weeks, the capsulerepair + cam resection group (Group 4a) showed significantly enhancedbiomechanical strength compared to the unrepaired capsulotomy group(Group 1a) (181.6 N vs. 120.9 N, p = 0.001) and capsule repair alone (Group2a) (181.6 N vs. 125.8 N, p = 0.01).Conclusion: Our findings indicate that cam resection, particularly whencombined with capsule repair, significantly improves biomechanical strengthand enhances the healing process of the capsule. These findings offer practical guidance for optimising surgical strategies to enhance patientoutcomes and long‐term joint function
A Prominent literary man from The Azerbaijani migration literature Yusuf Vezir Chemenzeminli
No full textThe concept of migration has been defined by various disciplines and is commonly described in the literature as the movement of individuals from one place to another due to various reasons throughout human history. When the causes of this mobility are examined, numerous factors can be identified, with political influences playing a significant role in the modern world. Political tensions in the homeland have often triggered migration, leading to either short-term or long-term displacement
Impact of yeast types on quality characteristics andstorage stability of industrial kefir
No full textKefir is a fermented dairy product that contains many types of lactic acid bacteria and different types of yeast. Yeasts in kefir culture are important in creating the unique properties of kefir. When yeasts are not included in kefir production, the unique properties of kefir do not emerge. In this study, the effects of various yeast microorganisms that can cause negative effects, such as swelling and deformation, in industrial kefir production on product quality characteristics were investigated. For this purpose, a commercial yeast-free kefir culture was supplemented with selected yeasts: Kluyveromyces marxianus (KM), Debaryomyces hansenii (DH), Kluyveromyces lactis (KL), Saccharomyces boulardii (SB), Saccharomyces cerevisiae (SC), Candida colliculosa (CC), Yarrowia lipolytica (YL), and Geotrichum candidum (GC) used in kefir production. Some physicochemical, rheological, microbiological, and sensory properties of the kefirs were examined during 28 days of storage. As a result of the research, the highest hardness and viscosity values (131.00 ± 1.41 g-1236.50 ± 47.38 cp) were observed in kefirs containing G. candidum, while the highest CO2 amount (151.40 ± 1.07 mg/100 mL) was determined in kefirs containing S. cerevisiae (p < 0.05). While serum separation was not determined in any sample, the highest water holding capacity (58.00% ± 00%) was determined in kefirs containing Y. lipolytica. In terms of sensory evaluation, kefir enriched with C. colliculosa received the highest overall acceptance. In general, the use of different yeast types in kefir production is of great importance, especially in terms of gas-carbon dioxide (CO2) formation and product quality
Exploring the experiences and challenges of motorcycle ambulance personnel in pre-hospital emergency healthcare services: A qualitative study
No full textBACKROUNDMotorcycle ambulances are particularly useful in navigating narrow and congested areas during premium hours due to their ability to provide rapid access to patients in pre-hospital emergency healthcare services (PHEHS), possessing suitable and necessary advanced life support accessories, and their speed, flexibility, and ease of maneuverability.
OBJECTIVEThis study aims to examine the experiences and challenges encountered by motorcycle ambulance workers in PHEHS.
METHODSThis study adopts a qualitative research methodology, specifically employing a phenomenological approach within the framework of a case study. The research sample consists of 19 paramedics and Emergency Medical Technicians (EMTs) working on motorcycle ambulances. Purposeful sampling method, specifically the snowball sampling technique, was employed in selecting the sample. Research data were collected through in-depth interviews conducted using a semi-structured interview form, from August 2022 to February 2023. The interviews were transcribed, coded, and thematically analyzed using the MAXQDA program.
RESULTSParticipants shared their experiences and the problems they encountered while performing their duties across four themes: purpose of motorcycle ambulances, most frequently assigned cases, challenges encountered, and the importance of teamwork.
CONCLUSIONSIt is crucial to ensure personnel safety by forming the motorcycle ambulance team from selected individuals, subjecting the selected personnel to the same standard and comprehensive advanced driving and technical training, regulating working hours, increasing the number of personnel, and fostering teamwork. Further efforts are needed to improve the working conditions of motorcycle ambulance services
The Analysis of the discourse-historical approach's predication strategy in two op-ed articles
No full textGazete köşe yazıları bağlı bulundukları gazetenin ideolojik görüşünü yansıtmakta ve okuyucuyu bu yolla manipüle edebilmektedir. Bu çalışmanın amacı Türkiye Barolar Birliği Başkanı Metin Feyzioğlu'nun çoklu baro sistemi düzenlemesi ile ilgili yaptığı eleştirilerin gündeme geldiği dönemde kaleme alınmış iki zıt görüşe sahip köşe yazısını incelemektir. Bu amaçla her iki köşe yazısı Ruth Wodak'ın Söylem-Tarihsel Yaklaşımında sözü edilen söylem stratejilerinden yüklemleme çerçevesinde çözümlenmiştir. Yazılardan biri Emin Çölaşan tarafından24 Haziran 2020 tarihinde Sözcü Gazetesinde yazılmış; diğeri ise Süleyman Özışık tarafından 26 Haziran 2020'de kaleme alınmıştır. Bulgular her iki köşe yazısı yazarının kendi ideolojik görüşünü yansıtırken okuyucu da kullandıkları dil ile yönlendirmeye çalıştıklarını ortaya koymaktadır.Op-ed articles reflect the ideological views of the newspapers that they belong to and through this, they are trying to manipulate its reader. The aim of this study is to analyse two op-ed articles having adverse opinions written out during the period in which Metin Feyzioğlu, the head of the Turkish Bar Association, has been criticised due to his opinions related to the arrangement of multiple bar association. To this end, each of the two op-ed articles aforementioned in Ruth Wodak's Historical-Discourse Approach has been analysed within the framework of the predication strategy. One of the articles was written by Emin Çölaşan in Sözcü Gazetesi on June 24, 2020 whereas the other one was written by Süleyman Özışık in Türkiye Gazetesi on June 26, 2020. it has been concluded that while findings are reflecting the ideological view of the writers of each of the two op-ed articles, they are manipulating the reader by way of the language they use as well
Dairesel kesitli ve dual gradyan çarpışma kutusunun eksenel ve eğik yükler altında enerji sönümleme analizi
No full textThe tube structures designed in the multicell pattern are used for crashworthiness in many areas. In this study, the crashworthiness was designed by dividing the inner area of the circular section geometry into equal slices by examining previous studies. In addition, this structure was prepared as a dual gradient in two different sizes along the length. Performance parameters were investigated by performing theoretical and numerical analyses. For multicell crashworthiness, which is considered a dual gradient, the folding style was insufficient in lobe formation. However, the specific energy absorption (SEA) and the crushing force efficiency (CFE) values of the two types of dual gradient structures behaved appropriately in absorbing kinetic energy. The dual gradient new design of crashworthiness provides resistance by preventing the bending of the structure under oblique loading. According to the results of the analysis, the mean SEA and CFE under loading at all angles for the 2nd order dual gradient configuration was 12.88% and 1.61% higher than the 1st order design. However, with the preparation of circular section tubular structures using 8-panel elements, close values were obtained in the comparison of theoretical and numerical analysis under axial loading conditions.Çok hücreli desende tasarlanan tüp yapılar birçok alanda çarpmaya dayanıklı olarak kullanılmaktadır. Bu çalışmada daha önce yapılan çalışmalar incelenerek dairesel kesit geometrisinin iç alanı eşit dilimlere bölünerek çarpışma kutusu tasarlanmıştır. Ayrıca bu yapı, uzunluk boyunca iki farklı boyutta ikili gradyan olarak hazırlandı. Performans parametreleri teorik ve sayısal analizler yapılarak incelenmiştir. Çift gradyan olarak kabul edilen çok hücreli çarpışma dayanıklılığı açısından, lob oluşumunda katlanma stili yetersizdir. Bununla birlikte, iki tip çift gradyanlı yapının özgül enerji soğurma (SEA) ve çarpışma kuvveti verimliliği (CFE) değerleri, kinetik enerjinin sönümlenmesi konusunda uygun davranmıştır. Çarpışmaya dayanıklı yeni çift gradyanlı tasarım, eğik yükleme altında yapının bükülmesini önleyerek direnç sağlar. Analiz sonuçlarına göre, 2. derece ikili eğim konfigürasyonu için tüm açılardan yükleme altında ortalama SEA ve CFE, 1. derece tasarıma göre % 12.88 ve %1.61 daha yüksekti. Ancak dairesel kesitli boru yapıların 8 panelli elemanlar kullanılarak hazırlanmasıyla eksenel yükleme koşulları altında teorik ve sayısal analizlerin karşılaştırılmasında birbirine yakın değerler elde edilmiştir
The Long and short-term effect of social media manipulation on the nasdaq index
No full textSocial media's power to manipulate the financial markets has sparked significant debates, particularly regarding its impact on stock exchanges and cryptocurrency markets. This study investigates the influence of social media manipulation, specifically through Twitter, on the NASDAQ Composite index during its decline from December 1, 2021, to January 31, 2022. Utilizing daily data, the research emphasizes the direction of the relationship between Twitter sentiment and the NASDAQ index. Sentiment analysis, conducted using TextBlob, determines the positivity or negativity of the language used in tweets related to NASDAQ. The study tests the hypothesis of a long- and short-term relationship between the sentiment scores and the index. Time series analysis required ensuring stationarity, which was verified using modern and traditional unit root tests. Subsequently, an ARDL model was employed to examine these relationships. The findings reveal that social media manipulation via Twitter does not impact NASDAQ Composite prices in either the long or short term. Instead, price variations in the NASDAQ Composite index are significantly influenced by the sentiment expressed on Twitter