Ufuk Universitesi Akademik Acikerisim Sistemi
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Determination of the anxiety and the needs of family members of critical care patients in emergency departments
No full textAims: It is very important to find ways to meet the needs of patients' family members and to control their anxiety. This study aims to identify the needs and anxiety levels of family members of critically-ill adult patients in emergency departments (ED). Methods: This descriptive study was conducted in the adult ED of a training and research hospital in Turkey. In order to collect data, we conducted face-to-face interviews with family members of critically-ill patients. The “Critical Care Family Needs Inventory-Emergency Department” (CCFNI-ED) and the “Spielberger State Trait Anxiety Inventory-State Scale” (STAI-S) were also used to identify the needs and the anxiety levels of the family members. Results: The average age of the participants was 40.81±13.32 years. Of the participants (n=172), 61.6% (n=106) were female. CCFNI-ED results showed that eight of the ten needs expressed by family members were related to communication. Overall anxiety level of the family members was 49.67%. Additionally, a statistically significant correlation was found between being female and STAI-S scores (t=2.41, p=0.01). 18.6% of family members expressed that their needs were unmet, while 29.1% of the participants stated that their needs were met. Conclusions: This study found no significant correlations between the scores obtained from STAI-S and CCFNI-ED. However, a statistically significant correlation was found between being female and STAI-S scores of relatives. Health professionals should take the higher anxiety levels of female family members into consideration, and they should pay attention to the needs of patients' relatives in order to manage their anxiety. © 2020 the University of Health Sciences Turkey, Gülhane Faculty of Medicine / Gülhane Medical Journal published by Galenos Publishing House. All Rights Reserved
The role of inflammatory markers in the diagnosis and follow-up of diabetic foot osteomyelitis
No full textAbstractAim: Diabetic foot infections are a major cause of mortality and morbidity in diabetic patients. These mortality and mortality rates increase further when osteomyelitis develops. Simple techniques are needed to facilitate the diagnosis and follow-up of diabetic foot osteomyelitis.Material and Methods: Eighty-nine patients who underwent amputation due to diabetic foot between January 2012 and May 2017 were included in the study. The patients were grouped as those with or without osteomyelitis according to their pathology results. C-reactive protein (CRP) level and erythrocyte sedimentation rate (ESR) were assessed pre- and postoperatively. Results: Preoperative ESR values were significantly higher in the osteomyelitis group (p0.05). Comparison of preoperative, postoperative 2-week, and postoperative 1-month ESR values showed a statistical difference among all time points (p<0.05), with lower postoperative values compared to preoperative values. At a cut-off value of 55.5 mm/h, preoperative ESR had sensitivity of 95.3% and specificity of 87.5% in the discrimination of patients with and without osteomyelitis.Conclusion: ESR is a simple, rapid, and cost-effective diagnostic marker with high sensitivity and specificity in the diagnosis of diabetic foot osteomyelitis. However, monitoring CRP values may be superior to ESR when evaluating early treatment response
Türkiye’de Halka Açık Firma Yatırımcılarının Yaşadığı Vekalet Maliyetleri
No full textStock markets play a significant role in terms of collecting the savings ofindividual investors and providing equity financing options for thecompanies. In most cases, individual investors cannot have a chance torepresent themselves on the boards of the companies which they invest in.This situation causes investors to suffer from agency costs which are welldefined in the corporate governance literature. This paper aims to definethe agency costs of publicly traded equities owners in the Turkish stockmarket. All publicly traded companies in Borsa İstanbul included in theresearch, which covers the period between 2010 and 2018 which is afterthe global financial crisis in 2008. Findings of the study show that there isan adverse relationship between financial performance of the companiesand the free float ratio. The companies with the higher free float ratioshave the lowest profitability. On the other hand, the main shareholders tendto sell their stocks when the stock pricing and the company's periodicprofitability is relatively high. The market perceived this as a negativesignal and a negative relationship was observed between the free floatchange and the stock price performance.Borsalar, bireysel yatırımcıların tasarruflarının değerlendirilmesi ve şirketler için öz kaynak finansman seçenekleri sağlanması açısından önemli bir rol oynamaktadır. Çoğu durumda, bireysel yatırımcılar, yatırım yaptıkları şirketlerin yönetim kurullarında temsil edilme şansına sahip olamazlar. Bu durum, küçük yatırımcıların kurumsal yönetim literatüründe iyi tanımlanmış vekalet maliyetlerini yaşamalarına neden olmaktadır. Bu çalışma, Türkiye borsasında halka açık firma sahiplerinin yaşadığı vekalet maliyetlerini tespit etmeyi amaçlamaktadır. Borsa İstanbul'da halka açık tüm şirketler, 2008 yılında yaşanan küresel mali krizden sonraki 2010- 2018 dönemini kapsayan araştırmaya dahil edilmiştir. Çalışma bulguları, şirketlerin finansal performansı ile halka açıklık oranı arasında ters bir ilişki olduğunu göstermektedir. Halka açıklık oranı daha yüksek olan şirketlerin karlılıkları daha düşüktür. Öte yandan, ana hissedarlar, pay fiyatları ve şirketin dönemsel karlılığının nispeten yüksek olduğu zamanlarda paylarının belli bir bölümünü satarak halka açıklık oranını artırma eğilimindedir. Piyasa ise bu durumu olumsuz bir sinyal olarak algılamakta ve halka açıklık değişimi ile pay fiyat performansı arasında negatif bir ilişki bulunmaktadır
The effects of green products on consumers' buying behavior
No full textDünyadaki şartların sürekli olarak gelişmesi ve değişmesi nedeniyle pazarlama alanında da farklı stratejilere dayanan bakış açıları ortaya çıkmıştır. Pazarlama bir kavram olarak ürünün özellik ve yararlarının belirleyici olduğu, hedef kitlesinde müşterilerin yer aldığı stratejiler etrafında şekillenen ve farklı yöntemlerle ele alınabilen bir yapıdadır. Bu tanımda pazarlama geleneksel olarak değerlendirilmiştir. Buna karşılık, bugün geleneksel yaklaşım geçerliliğini yitirmiş olup pazarlama alanında daha modern tanımlara ihtiyaç duyulmaktadır. Modern yaklaşım ürünlerin müşteri ilgisini cezbedebilecek şekilde tasarlandığı, satış ve iletişim becerilerinin önemli rol oynadığı faaliyetler olarak tanımlanabilmektedir. Bu tanımdan da anlaşılabileceği üzere müşterinin ilgisini çekmek pazarlamanın en önemli unsurlarından biridir. Bu bağlamda yeşil pazarlama, bireylerin ihtiyaçlarını ve isteklerini karşılayacak değişimi yaratırken, çevreye en az düzeyde zarar vermeyi amaçlayan faaliyetlerin oluşturduğu bir bütündür. Bu çalışmada yeşil ürünlerin tüketici satın alma davranışları üzerine etkisi incelenmiştir. Yapılan incelemede, Ankara ilinde ikamet eden 241 katılımcıya anket uygulaması yapılmıştır. Yapılan uygulamanın sonucunda yeşil ürün algısının, fonksiyonel kalite değerinin, sosyo-duygusal değerin ve çevresel kaygı değerinin tüketicilerin satın alma davranışlarına pozitif yönde etkili olduğu tespit edilirken, fiyat değerinin tüketici satın alma davranışlarına pozitif yönde etkili olmadığı tespit edilmiştir.As a result of the continuous development and change of conditions in the world, perspectives based on different strategies in the field of marketing have emerged. Marketing as a concept is a structure where the product's features and benefits are decisive, and which can be addressed in different ways and shaped around the strategies of customers in its target audience. Marketing in this definition has been evaluated in a traditional sense. However, today, the traditional approach has become obsolete and more modern definitions are needed in the field of marketing. The modern approach can be defined as activities in which products are designed to attract customer attention and in which sales and communication skills have an important role. As it can be understood from this definition, attracting the customer is one of the most important elements of marketing. In this context, green marketing is a holistic structure of activities aimed at minimizing the harm made to environment while creating the change that will meet the needs and wishes of individuals. In this study, the effects of green products on the buying behavior of consumers were examined. In order to do that, a questionnaire was conducted with 241 participants living in Ankara. As a result of the application, it has been found out that perception of green product, functional quality value, socio-emotional value, and environmental anxiety have a positive effect on the consumer's buying and selection behavior; whereas value pricing does not affect the consumers' buying attitudes positively
No decrease in infection rate with the use of local vancomycin powder after partial hip replacement in elderly patients with comorbidities
Get PDFIntroduction The goal of this study was to evaluate the effects of local intra-wound vancomycin powder (VP) administration to decrease surgical site infections (SSIs), particularly in elderly patients with comorbidities, after having undergone partial hip replacement in the treatment of intertrochanteric (ITF) or femoral neck fractures (FNF). Methods We retrospectively reviewed patients who underwent partial hip replacement in the treatment of ITF or FNF in one year. We divided the patients into two groups. The non vancomycin-treated group received standard systemic prophylaxis only (1 gr cefazolin IV), while the vancomycin-treated group received 1 gr of VP in the surgical wound just before surgical closure in addition to the systemic prophylaxis. We included patients of 64 years or older who also had one or more comorbidities. We compared the post-operative SSI rates between the non vancomycin-treated group and the vancomycin-treated group. Results A total of 93 patients were included in the study. We detected post-operative wound infection in six patients (6.4%). The rate of SSI was found to be 5.7% in the vancomycin-treated group and 6.9% in the non vancomycin-treated group respectively, which showed no statistically significant difference (p:0.498). The incidence of SSI was statistically higher in the patients who had a follow-up in the post-operative intensive care unit than the patients who had not any follow-up in the intensive care unit. Conclusion Local application of VP in the surgical wound was found to be ineffective in reducing the incidence of SSI after partial hip replacement in elderly patients with comorbidities
What we learned about COVID-19 so far? notes from underground
Get PDFThe novel coronavirus pandemic poses a major global threat to public health. Our knowledge concerning every aspect of COVID-19 is evolving rapidly, given the increasing data from all over the world. In this narrative review, the Turkish Thoracic Society Early Career Taskforce members aimed to provide a summary on recent literature regarding epidemiology, clinical findings, diagnosis, treatment, prevention, and control of COVID-19. Studies revealed that the genetic sequence of the novel coronavirus showed significant identity to SARS-CoV and MERS-CoV. Angiotensin-converting enzyme 2 receptor is an important target of the SARS-CoV-2 while entering an organism. Smokers were more likely to develop the disease and have a higher risk for ICU admission. The mean incubation period was 6.4 days, whereas asymptomatic transmission was reported up to 25 days after infection. Fever and cough were the most common symptoms, and cardiovascular diseases and hypertension were reported to be the most common comorbidities among patients. Clinical manifestations range from asymptomatic and mild disease to severe acute respiratory distress syndrome. Several patients showed typical symptoms and radiological changes with negative RT-PCR but positive IgG and IgM antibodies. Although radiological findings may vary, bilateral, peripherally distributed, ground-glass opacities were typical of COVID-19. Poor prognosis was associated with older age, higher Sequential Organ Failure Assessment score, and high D-dimer level. Chloroquine was found to be effective in reducing viral replication in vitro. Likewise, protease inhibitors, including lopinavir/ritonavir, favipiravir, and nucleoside analogue remdesivir were proposed to be the potential drug candidates in COVID-19 management. Despite these efforts, we still have much to learn regarding the transmission, treatment, and prevention of COVID-19
Effects of Mindfulness Based Stress Reduction (MBSR) program on cognitive and emotional process: Changes in mindfulness, affect and percieved stress
No full textBu araştırmanın amacı Bilinçli Farkındalık Temelli Stres Azaltma Programının (MBSR) üniversite öğrencilerinin bilinçli farkındalık düzeyleri, olumlu ve olumsuz duygulanım, algılanan stres seviyeleri üzerindeki etkisini incelemektir. Uygulanan 8 haftalık standart MBSR programının etkililiğini belirlemek amacıyla iki gruplu öntest-sontest deneysel model kullanılmıştır. Araştırmanın çalışma grubunu psikoloji bölümünde okumakta olan üçüncü sınıf öğrencileri oluşturmaktadır. Çalışmanın araştırma grubu 11 öğrenciden oluşurken, karşılaştırma grubunda ise 10 katılımcı yer almaktadır. Çalışmanın etkililiğini ölçmek amacıyla Beş Boyutlu Bilinçli Farkındalık Ölçeği (BBBFÖ), Algılanan Stres Ölçeği (ASÖ) ve Pozitif ve Negatif Duygulanım Ölçeg?i (PANAS) kullanılmıştır. Uygulama öncesi ve sonrasında ve oturumlar ardından elde edilen veriler Bağımlı Gruplar T-testi ve Tekrarlı Ölçümler ANOVA kullanılarak analiz edilmiştir. Ön-test ve son-test verilerden elde edilen bulgular sonucunda bilinçli farkındalık seviyeleri üzerinde anlamlı bir sonuç elde edilmemiştir. Tekrarlı Ölçümler ANOVA'dan elde edilen bulgular olumlu duygulanım sıklığında pozitif yönde değişime işaret ederken, olumsuz duygulanım sıklığında değişim yaşanmadığını bununla birlikte, algılanan stres düzeyinin anlamlı olarak düştüğünü ortaya koymuştur. Sonuçlar, MBSR programının duygulanımı değiştirmeksizin algılanan stresi azalttığı dolayısıyla, duyguların ele alınış biçiminde değişim yarattığı şeklinde yorumlanmıştır. Bilinçli farkındalığa yönelik anlamlı sonuç elde edilmemesi örneklem çapı, örneklem yapısı ve BBBFÖ'nün özellikleri kapsamında tartışılmıştır.The aim of this study is to examine the effect of the Mindfulness Based Stress Reduction Program (MBSR) on the mindfulness levels, positive and negative affect, and perceived stress levels of university students. A two-group pretest-posttest experimental model was used to determine the effectiveness of the applied 8-week standard MBSR program. The study group of the research consists of third grade students studying in the psychology department. While experimental group of the study consisted of 11 students, there were 10 participants in the control group. In order to measure the effectiveness of the study, the Five-Facets Mindfulness Scale (FFMQ), Perceived Stress Scale (PSS) and the Positive and Negative Affect Scale (PANAS) were used. Data obtained before and after MBSR intervention and also data after from each sessions were analyzed using the Paired Sample T-test and Repeated Measurements ANOVA. As a result of findings obtained from the pre-test and post-test data, no meaningful results were obtained mindfulness levels. The findings obtained from ANOVA indicated that there was a positive change in the frequency of positive affect, whereas there was no change in the frequency of negative affect. However, results showed that perceived stress level is significantly decreased. In conclusion, there is no significant change in mindfulness levels since the study group consists of psychology students and their awareness is not low as compared to others. In conclusion, it was interpreted that MBSR intervention increased positive affect and helped to decrease the perceived stress level. There was no significant results for mindfulness this would be discussed within the scope of sample size, sample structure and features of the FFMQ
Hemşirelerin bilişim yetkinliğinin değerlendirilmesi (Afganistan uygulaması) /
No full textSağlık Bilgi Teknolojisi (SBT) , günümüz koşullarında çok önemli bir husus haline gelmiş ve hatta zorunluluk oluşturmuştur. SBT bünyesinde uzman olan hemşirelik bilişimi, hasta güvenliğini ve sağlık kalitesini artırarak, hemşirelik uygulamalarını dönüştürmüştür. Bu çalışma sayesinde, Afganistanda görev yapan Afgan hemşirelerin bilgisayar okuryazarlığı, bilişim okuryazarlığı ve bilişim yönetimi becerilerindeki özgüven ve yetkinlikleri değerlendirildiğinde, aynı eğitim şeklinden ziyade farklı eğitim düzeylerindeki hemşirelere farklı eğitim verilmesinin uygun olacağı düşünülmektedir. Yapılan çalışmada çoğunluğu %52,9 ile erkek katılımcılar oluşturmaktadır. Katılımcıların büyük kısmı 18-29 yaş aralığındadır. 50 yaş ve üzerindeki katılımcılar %13,2'lik oran ile azınlık grubu oluşturmaktadır. Katılımcıların %67,6'sının evli olduğu görülmüştür. Meslekte kalma sürelerine göre katılımcıların çoğunluğu 5 yıldan az süre ile deneyim sahibi olduğu ve çalışanlarının önemli bir kısmının (%45,6) yoğun bakımlarda görev yaptığı görülmektedir. Yetkinlik ölçeğinden aldıkları puanlara göre katılımcıların yaklaşık yarısının "yeterli" düzeyde, "Uzman" düzeyindeki katılımcıların oranı ise %8,8 olduğu görülmektedir. Katılımcıların Bilişim Yetkinlik ve alt boyutlarının puanları yaş gruplarına göre farklılık göstermediği görülmüştür. Betimsel inceleme sonucunda, eğitim durumu ile katılımcıların bilişim yetkinlik ve alt boyutlarından aldıkları puan ortalamaları arasında pozitif yönde bir ilişki olduğu gözlenmiştir. Analiz sonucuna göre katılımcıların Bilişim Yetkinlik ile bilgisayar okuryazarlığı, bilişim okuryazarlığı ve bilişim yönetimi alt boyutlarının puanları eğitim durumlarına göre istatistiksel olarak anlamlı bir farklılık göstermektedir. Medeni durumu eşinden ayrılmış olan katılımcıların bilişim yetkinlik ve alt boyutlarından aldıkları puan ortalamalarının bekar ve evli olan katılımcılara göre daha yüksek olduğu gözlenmiştir. Bilişim yetkinlik ölçeği puanları ölçeğin her üç alt boyutu arasında istatistiksel olarak anlamlı, pozitif bir korelasyon olduğu belirlenmiştir. Bulgular değerlendirildiğinde; Afganistanda görev yapan hemşirelerin çalışma branşlarına göre 2,45 (%61) seviyesinde yetkin oldukları ve hemşirelik bilişimi uygulama alanlarının hemşirelere avantaj sağladığı fakat bilişim eğitimi ve altyapısının gelişmeye ihtiyaç duyduğu değerlendirilmiştir.Health information technology (SBT) has become a very important issue in today's conditions and has even become a necessity. Nursing informatics, a specialist within the body of SBT, has transformed nursing practices by increasing patient safety and health quality. Thanks to this study, considering the self-confidence and competencies of nurses' computer literacy, informatics literacy and information management skills, it is thought that it would be appropriate to provide different education to nurses at different educational levels rather than the same form of education. In the study, male participants constitute the majority with 52.9%. Most of the participants are between the ages of 18-29. Participants aged 50 and over constitute a minority group with a rate of 13.2%. It was seen that 67.6% of the participants were married. It is seen that the majority of the participants have less than 5 years of experience and a significant part of their employees (45.6%) work in intensive care units according to their retention period. According to the scores obtained from the self-efficacy scale, it is seen that approximately half of the participants are at the "sufficient" level and the rate of the participants at the "Expert" level is 8.8%. It was observed that the scores of the participants' Informatics Self-Efficacy and its sub-dimensions did not differ according to age groups. As a result of the descriptive analysis, it was observed that there was a positive relationship between the educational status and the participants' mean scores on informatics self-efficacy and sub-dimensions. According to the results of the analysis, the scores of the participants' Informatics Self-efficacy and computer literacy, informatics literacy and information management sub-dimensions show a statistically significant difference according to their educational status. It has been observed that the participants whose marital status is widowed have higher scores on the informatics self-efficacy and sub-dimensions compared to the single and married participants. When the findings are evaluated; It has been evaluated that nurses working in Afghanistan are competent at the level of 2.45 (61%) according to their branches of work and nursing informatics application areas provide nurses an advantage, but informatics education and infrastructure need to be improved
lodine levels in pregnant women with hyperemesis gravidarum
No full textBJECTIVE: Iodine deficiency is a commonly seen problem and associated with pregnancy complica tions. In this study, we aimed to evaluate urinary iodine status in pregnant women with hyperemesis
gravidarum
STUDY DESIGN: A total of 121 women experiencing singleton pregnancies between 6 and 18 weeks
of gestation were included in the study. The participants were divided into two groups; group 1 com prised 81 healthy pregnant women, and group 2 comprised 40 pregnant women with Hyperemesis
Gravidarum.
RESULTS: Urinary iodine levels were found to be significantly higher in healthy pregnant women than
women with Hyperemesis Gravidarum (p=0.008). Urinary iodine was significantly correlated with the uri nary ketone (r= -0.252, p=0.005) and FT3 (r= -0.190, p=0.037).
CONCLUSION: In pregnant women with hyperemesis gravidarum, oxidative stress was increased, uri nary iodine levels were significantly low and negatively correlated with disease severity. Thus, ıodine re placement might be essential to prevent pregnancy complications
Treatment of a case with giant eyelid syringomas
No full textHe had a history of multiple asymptomatic flesh-colored papules, which hadslowly increased in number and coalesced into plaques, on both upper andlower eyelids. Some of the plaques were giant and mostly coalescent in nature.We excised surgically the giant plaques which were approximately 1.5-2 cm indiameter symmetrically from upper and lower eylids and the remaining plaqueswere left to be treated with cauterization. Histopathological examination revealedsyringoma. Both of the eyelids were observed to have a cosmetically adequateappearence after the surgical intervention