Repositorio de la Asociación Española de Neuropsiquiatría
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3D Soil Structure Interaction Effects on the Seismic Behavior of Single Span Historical Masonry Bridge
No full textHistorical masonry bridges are cultural heritage of countries and must be protected from destructive effects of nature such as earthquakes, floods, and fires. The interaction of soil and structure has a significant impact on the seismic behavior of masonry bridges. In this study, the effect of Soil-Structure Interaction (SSI) was investigated on a single-span masonry bridge using non-linear time-history analysis. A SSI model of the Velipalas masonry bridge and soil layer was created using 3D solid elements in DIANA software. The nonlinear behavior of the masonry units and soil layer was modeled using the total strain-based crack model and Mohr-Coulomb failure criteria. The earthquakes of 1992 Erzincan, 2003 Bingol, and 2020 Sivrice were used for earthquake excitation. Results showed that considering SSI increased the periods, displacements, velocities, and principal stresses, but reduced the frequency and acceleration values. Hence, the results indicate that SSI effects are significant for the seismic response of single-span masonry bridges.Firat University Scientific Research Projects Unit [MF. 21.81]This research was funded by Firat University Scientific Research Projects Unit (MF. 21.81)
Frequency of nurse-provided spiritual care: An international comparison
No full textAims and objectives To compare the frequency of nurse-provided spiritual care across diverse cultures. Background Given an ethical imperative to respect patient spirituality and religiosity, nurses are increasingly taught and expected to provide spiritual care. Although nurses report positive attitudes toward spiritual care, they typically self-report providing it infrequently. Evidence about the reported frequency of spiritual care is constrained by substantial variation in its measurement. Design This cross-sectional, descriptive study involved secondary analysis of data collected in multiple sites globally using one quantitative instrument. Methods Data were collected from practicing nurses using the Nurse Spiritual Care Therapeutics Scale and analysed using descriptive statistics and a meta-analysis procedure with random-effect modelling. Datasets from 16 studies completed in Indonesia, Iran, Malaysia, Philippines, Portugal, Taiwan, Turkey and the United States contributed to a pooled sample (n = 4062). STROBE guidelines for cross-sectional observational studies were observed. Results Spiritual care varied between countries and within countries. It was slightly more frequent within Islamic cultures compared with predominantly Christian cultures. Likewise, frequency of spiritual care differed between nurses in palliative care, predominantly hospital/inpatient settings, and skilled nursing homes. Overall, Remaining present horizontal ellipsis was the most frequent therapeutic, whereas documenting spiritual care and making arrangements for the patient's clergy or a chaplain to visit were among the most infrequent therapeutics. Conclusions In widely varying degrees of frequency, nurses around the world provide care that is cognisant of the spiritual and religious responses to living with health challenges. Future research should be designed to adjust for the multiple factors that may contribute to nurses providing spiritual care. Relevance to clinical practice Findings offer a benchmark and begin to inform nurse leaders about what may be normative in practice. They also encourage nurses providing direct patient care that they are not alone and inform educators about what instruction future nurses require
Evaluation of functional mobility, balance, and executive functions in children with epilepsy
No full textObjective: It is known that motor skills and executive functions are interrelated in healthy children. The study aims to evaluate the functional mobility, balance and executive functions in children who are diag-nosed with epilepsy and to determine whether they are related to each other.Methods: The study included 21 children who were diagnosed with epilepsy and have no additional comorbidities and 21 healthy children who had similar age and sex to those diagnosed with epilepsy. Their demographic data were collected using a descriptive information form. In addition, the Timed Up and Go Test (TUG) and the Stair Climb Test (SCT) were used to evaluate their functional mobility, the Pediatric Berg Balance Scale (PBSS) to evaluate their balance, and the Behavior Evaluation Inventory for Executive Functions Parent Form (BRIEF-P) to evaluate their executive functions.Results: Our study found a statistically significant difference between the children with epilepsy and their healthy peers in terms of functional mobility and executive functions (p 0.05). In addition, a statistically significant difference was found between the executive functions and functional mobility in children with epilepsy (p < 0.05). The coefficient of determinations (R2) indicating how dif-ferences in T and SCT scores explained by executive function domains were found as 0.718 and 0.725, respectively.Conclusions: Epilepsy can negatively affect several aspects of functional mobility and executive functions in childhood. According to the results of our study, it is important to recognize the motor skills and exec-utive functions problems of children with epilepsy who do not have additional comorbidities, and to direct them to appropriate healthcare programs. Our results support the need to raise awareness in both health professionals and families to encourage children with epilepsy to be more active.(c) 2023 Elsevier Inc. All rights reserved
Determination of knowledge levels of transplant nurses on forensic nursing practices
No full textAmaç: Bu araştırmada, organ nakli hemşirelerinin adli hemşirelik uygulamaları hakkındaki bilgi düzeylerinin belirlenmesi amaçlandı. Materyal ve Metot: Araştırma tanımlayıcı olarak Ocak 2022-Aralık 2022 tarihlerinde İnönü Üniversitesi Karaciğer Nakli Enstitüsünde yürütüldü. Power analizi sonucunda %95 güven aralığın da 0.05 yanılgı düzeyinde 0.25 etki büyüklüğünde 0.95 evreni temsil gücüyle 108 hemşire oluşturdu. Veriler yüz yüze görüşme yöntemi ile Tanımlayıcı Özellikler Veri ve Adli Hemşirelik Uygulamalarına Yönelik Soru Formları kullanılarak toplanıldı. Bulgular: Araştırmaya katılan hemşirelerin %63.9'u kadın, %58.3'ü evli, %35.2'si 6-11 yıl süre ile çalıştığı, %94.4'ü adli hemşirelik eğitimi almadığı ve %47.2'sinin adli vaka prosedürününü bilmediği belirlendi. Hemşirelerin rol sorumluluklarına ilişkin görüşlerin dağılımı incelendiğinde %81.5'inin fiziksel değerlendirmenin yapılması, %47.2'sinin delil teslim zincirinin korunması yönünde görüş bildirdi. Adli hemşirelik uygulamalarına ilişkin puan ortalamalarının medeni duruma göre değişimi incelendiğinde Soru Formu Uygulama alt boyut puan ortalamasının medeni duruma göre önemli düzeyde farklılık gösterdiği belirlendi. Korelasyon analizine göre; rol sorumluluk alt boyutunun çalışma alanı %56.5 (r=0.565), Soru Formu Türk Ceza Kanunu %24.1 (r=0.241), Soru Formu Bilgi %25.3 (r=0.253), Soru Formu Uygulama ile %39 düzeyinde (r=0.390) pozitif yönlü anlamlı düzeyde ilişkisi olduğu belirlendi. (p<0.05). Sonuç: Adli hemşirelik uygulamaları cinsiyet, eğitim durumu, toplam çalışma süresi ve adli hemşirelik eğitimi alma durumu gibi değişkenlerden etkilenmediği, adli hemşirelik alt boyutları; rol sorumluluk, çalışma alanı, pozitif yönde anlamlı bir ilişki olduğu sonucuna varıldı. Bu sonuçlar doğrultusunda adli hemşirelerin yasal mevzuatlar kapsamında tanımı, görevleri net olarak belirlenmeli ve yüksek lisans, doktora programlarıyla adli hemşirelerin uzmanlaşmalarının önü açılmalıdır. Anahtar Kelimeler: Adli Hemşirelik, Bilgi Düzeyi, Hemşirelik, Organ Nakli.Aim: In this study, it was aimed to determine the knowledge level of organ transplant nurses about forensic nursing practices. Material and Method: The research was carried out as a relational descriptor at İnönü University Liver Transplantation Institute January 2022 and December 2022. As a result of the power analysis, 108 nurses formed the 95% confidence interval, 0.05 error level, 0.25 effect size, 0.95 universe representation power. Data were collected by face-to-face interview method using Descriptive Characteristics Data and Questionnaires for Forensic Nursing Practices. Results: It was determined that 63.9% of the nurses participating in the study were female, 58.3% married, 35.2% worked for 6-11 years, 94.4% did not receive forensic nursing training and 47.2% did not know the forensic case procedure. When distribution of views on the role responsibilities of nurses was examined, 81.5% of them stated that physical evaluation should be done and 47.2% of them stated that they should protect evidence delivery chain. When change in the mean scores of forensic nursing practices according to marital status was examined, it was determined that the question form application sub-dimension mean score differed significantly according to marital status. According to the correlation analysis; Working area of the role responsibility sub-dimension is 56.5% (r=0.565), Question Form Turkish Penal Code 24.1% (r=0.241), Question Form Knowledge 25.3% (r=0.253), Question Form Application 39% (r=0.390) It was determined that there was a significant positive correlation (p<0.05). Conclusion: Forensic nursing practices are not affected by variables such as gender, education level, total working time and forensic nursing education; forensic nursing sub-dimensions; It was concluded that there was a significant positive relationship between role responsibility, field of study and positive. In line with these results, the definition of forensic nurses within the scope of legal regulations and their duties should be clearly defined and specialization of forensic nurses should be paved with master's, doctorate programs. Keywords: Forensic Nursing, Knowledge Level, Nursing, Organ Transplantatio
Psychodrama as an intervention management instrument for internal/external adolescent problems: A systematic literature review
No full textIt is likely that adolescents who have difficulties in coping with internalized or externalized problems seek psychotherapy. Psychodrama, which provides individuals with the opportunity of staging problems instead of talking about them, is a very suitable psychotherapy option for adolescents. The present study aimed to conduct a systematic review that would meticulously summarize the empirical evidence presented in earlier studies on the effectiveness of psychodrama in solving internalizing/externalizing problems of adolescents. Peer-reviewed studies conducted on psychodrama interventions for adolescents, published in English between 1 January 2001 and 31 December 2021, indexed in five databases (EBSCOHOST, Scopus, Web of Science, PubMed, and Science Direct) were searched. After the review, it was concluded that 7 empirical studies met the inclusion criteria. The characteristics and methodological features of these studies were reviewed, the efficiency of psy-chodrama was evaluated and the problem areas of focus were determined. Four studies were conducted in Turkey, one in Israel, one in Palestine, and one in Iran. The effectiveness of psychodrama was tested on 11-17 years, old adolescents. It was seen that the Experimental/Quasi-Experimental Design was used in the included studies, in-group/intergroup effects were compared, and psychodrama interventions varied between 9 and 22 sessions, the effect size was clearly expressed in some of them and was not stated in most of them. It was found that the risk in terms of selection, performance, and attrition bias was unclear or low in these studies. The studies mostly investigated the effects of psychodrama on aggression, and the findings demonstrated that the method was effective on internalized behavior such as loneliness, introversion, anxiety, depression, commitment, con-fidence, self-disclosure, loyalty, self-awareness, tension, suicidal ideation, and externalized behavior such as smoking, alcohol and substance use, leaving home, risky sexual intercourse, and conflict resolution skills. It is considered that the results of this study will increase the awareness that psychodrama is functional in the intervention of adolescents' internal and external problems. Suggestions for improvement in future studies that will uncover the effectiveness of psychodrama are discussed.Yag mur ULUSOY, Dr. and Ezgi SUMBAS, Dr. and Betl SERTKAYAThe authors acknowledge the support of Yag mur ULUSOY, Dr. and Ezgi SUMBAS, Dr. and Betl SERTKAYA
Effect of Mindfulness-Based Stress Reduction Training on Anxiety, Depression, and Hopelessness in Menopausal Women: An Experimental Study
No full textThe aim of this study is to determine how mindfulness-based stress reduc-tion (MBSR) training affects levels of anxiety, depression, and hopeless-ness in menopausal women. This ex-perimental study was conducted as a pretest-posttest, control group design in two family health centers. The sam-ple consisted of 100 (50 in the control group, 50 in the experimental group) menopausal women, determined on basis of power analysis. Data were col-lected using the Descriptive Charac-teristics Form, the State-Trait Anxiety Inventory, the Hamilton Depression Rating Scale, and the Beck Hopeless-ness Scale. Whereas women in the experimental group received eight ses- sions of MBSR training, the women in the control group did not receive any intervention. There was a posttraining decrease in the mean anxiety, depres-sion, and hopelessness scores of the experimental group, compared with the control group, and the difference was statistically significant (P < .05). We found that MBSR training effec-tively reduced anxiety, depression, and hopelessness in menopausal women
From Synthesis to Biological Impact of Ru (II) Complexes: Preparation, Characterization, Antimicrobial, Antioxidant scavenging and Enzymatic inhibitory activities
No full textThe reaction of [RuCl2(p-cymene)]2 with in situ prepared Ag-N-heterocyclic carbene (NHC) complexes yields a series of [RuCl2(p-cymene) (NHC)] complexes 3. The structures of complexes were established by appropriate spectroscopic methods and elemental analyses. The biological activities of the synthesized ligands and their Ru (II) complexes as acetylcholinesterase, antimicrobial, and antioxidant agents were evaluated. The lowest MICs values were obtained with the two complexes 3b and 3d. The enzymatic inhibitory investigation against acetylcholinesterase (AChE) and tyrosinase (TyrE), showed that the two complexes 3b and 3d are the most potent inhibitors against (AchE) with an IC50 of 2.52 and 5.06 & mu;g mL-1 respectively, and against (TyrE) with an IC50 of 19.88 and 24.95 & mu;g mL-1 respectively. Additionally, DPPH (2,2-diphenyl-1-picrylhydrazyl) has been tested for its ability to scavenge hydrogen peroxide and free radicals. According to our results, these compounds exhibi
An examination from a sociological perspective of the popular religiosity levels of the people of Doğanşehir
No full textBu çalışma, Doğanşehir ilçesinde yaşayan halkın, popüler dindarlık düzeylerinin, sosyolojik açıdan incelenmesini konu edinmiştir. Araştırma alanının merkezinde ve kırsal alanlarında gerçekleştirilen bu çalışmada katılımcı gözlem, mülakat ve anket teknikleri uygulanmıştır. Üç bölümden oluşan çalışmamızın giriş kısmında araştırmanın konusu, amacı ve önemine değinilmiştir. Araştırmamızın birinci bölümünde kavramsal çerçeve yer almakta olup konu ile ilgili kavramlar açıklanmıştır. Kavramsal çerçeve içerisinde dini farklılaşma neticesinde ortaya çıkan popüler dindarlık düzeyi, sosyolojik bağlamda ele alınmıştır. İkinci bölümümüzde araştırmanın yöntem ve teknikleri, veri toplama araçları ve analizleri ele alınmıştır. Bu tekniklerle çalışmanın kapsamı detaylı bir şekilde açıklanmaya çalışılmıştır. Üçüncü bölümümüzde ilk olarak araştırma alanı hakkında genel bilgiler verilmiştir. Daha sonra anket ve mülakat teknikleriyle elde edilen bulgular değerlendirilip yorumlamaya tabi tutulmuştur. Sonuç kısmımızda ise Doğanşehir ilçesindeki popüler dindarlık düzeyinin varlığı tespit edilmiştir. Tespit edilen popüler dindarlık tutumları ile çeşitli değişkenler arasındaki ilişki ortaya çıkartılıp değerlendirilmiştir. Popüler dindarlık alanında yapılan bu çalışmanın, Türk popüler dindarlığının anlaşılması ve değerlendirilmesine katkı sağlaması hedeflenmiştir. Anahtar Sözcükler: Popüler dindarlık, Normatif Dindarlık, Batıl İnanışlar, Doğanşehir, Halk İnanışları.This study is based on the popular religiosity levels of the people living in the Doğanşehir district. In this study, conducted in the center and rural areas of the research area, participant observation, interview and survey techniques were implemented. In the introduction of our three-part study, the subject, purpose and importance of the research has been adressed. The first part of our research includes the conceptual framework and describes the concepts of the matter. The level of popular religiosity devotion, which is the result of religious differentiation within the conceptual framework of this study is discussed in the sociological context. In the second section, the methods and techniques of the research, data collection tools and analysis were discussed. After that the scope of the study was detailed. In our third section, we first provide an overview of the research area. After that we evaluate and interpret the findings obtained with questionnaire and interview techniques. In our conclusion, the existence of the popular religiosity level in the Doğanşehir district has been identified and assessed. The relationship between popular religiosity attitudes and various variables were evaluated. This study in the field of popular religiosity is aimed at contributing to the understanding and evaluation of Turkish popular piety. Keywords: Popular religiosity, normative piety, superstition, Doğanşehir, folk beliefs
Ortaokul 8. Sınıf Öğrencilerinin “Yeni Nesil Soru” Kavramına İlişkin Algılarının Metafor Yoluyla İncelenmesi
No full textOlgubilim desenine göre tasarlanan bu nitel araştırma ile ortaokul 8. sınıf öğrencilerinin yeni nesil sorulara yönelik algılarının metafor aracılığıyla incelenmesi amaçlanmıştır. Araştırmanın katılımcılarını 2020-2021 eğitim öğretim yılı bahar döneminde, Malatya ilinde yer alan dört farklı ortaokulun 8. sınıfına devam eden toplam 60 öğrenci oluşturmaktadır. Verilerin toplanması amacıyla araştırmaya katılan öğrencilerden “Yeni nesil sorular ..... gibidir. Çünkü .......” cümlesindeki boşlukları tamamlamaları istenmiştir. Araştırma sonucunda elde edilen veriler içerik analizi yöntemiyle analiz edilmiştir. Analizler sonucunda geçerli sayılan toplam 54 metafor içerisinden en sık kullanılanların “beyin”, “dağa tırmanmak”, “merdiven”, “uzay” ve rüya” olduğu görülmüştür. Öğrencilerin oluşturdukları metaforların gerekçelerinin analizinden hareketle öğrencilerin yeni nesil soru kavramına ilişkin algıları İmkânsız Labirent, Sarp Kayalık, Strateji Savaşları ve Sırat Köprüsü olmak üzere toplam dört tema altında değerlendirilmiştir. Anahtar Kelimeler: Yeni nesil soru, bağlam temelli soru, beceri temelli soru, metafor