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Developmental Care in İran: an Approach To Optimal Utilization of Nursing Care Aimed at Reducing Long-Term Complications in Preterm Neonates
No full textWe have carefully reviewed the article titled ‘Developmental Care in Iran: An Approach to Optimal Utilization of Nursing Care Aimed at Reducing Long-term Complications in Preterm Neonates' with great interest. The author provides valuable insights into the correlation between developmental care and the mitigation of long-term complications, and we commend their efforts in shedding light on this crucial aspect. This letter aims to articulate our concerns regarding certain issues identified in the publication. While common and observed in various publications, these concerns have the potential to introduce bias into the study, as indicated by various research findings. Our perspective, supported by a range of research publications, suggests that addressing these issues is essential to uphold the integrity and reliability of the study. © 2024 Neonatal Nurses Associatio
Symptoms Experienced at Home and Self-Care Requisites of Patients After Heart Transplantation: a Retrospective Study
No full textSaglam, Rabia/0000-0002-8208-6113; Yavuz Sariyer, Busra/0000-0002-2528-851X; Kirali, Kaan/0000-0003-0044-4691; GUNAY, DENIZ/0000-0003-1656-6984Heart transplantation is the most important treatment option in end-stage heart failure, and heart transplant recipients should be monitored at home by healthcare professionals in terms of symptoms and self-care requisites. The aim of this study is to examine symptoms and self-care requisites of patients with heart transplantation after discharge. Symptoms and self-care requisites of 81 patients who had heart transplantation between 2015 and 2020 were evaluated retrospectively in this study. Survey data were collected using the telephone interview method. It was determined that 77.8% of the patients were male and their mean age was 41.87 +/- 2.51 years. Fatigue (91.4%), pain in the back, neck, and joints (86.4%), restlessness/agitation (81.5%), weight gain (71.6%), and edema in the lower extremities (71.6%) were the first 5 common symptoms experienced at home after heart transplantation. It was also found that the vast majority of patients (80.2%) answered negatively to the question of eliminating the lack of knowledge about the disease, and some of the patients were found not to pay attention to some important issues (e.g., regular blood pressure check, quitting smoking, etc.). Findings revealed that patients with heart transplantation experience a series of symptoms, and their self-care requisites were mostly focused on education and information specific to the disease after discharge. As a part of public health nursing practices, home care concentrating on symptoms and learning needs of patients should be planned and organized with a multidisciplinary approach to decrease rehospitalization and contribute to cost-effectiveness after heart transplantation.Emerging Sources Citation Inde
Sporcularda Beş Faktör Kişilik Özelliklerinin Zihinsel Dayanıklılığı Yordayıcı Rolü
No full textBu çalışmanın amacı yetişkin sporcularda zihinsel dayanıklılığın belirlenmesinde beş faktör kişilik özelliklerinin rolünü incelemektir. Çalışmada tarama modellerinden olan ilişkisel tarama modeli kullanılmıştır. Çalışmaya uygun örneklem yöntemi ile seçilen 124’ü erkek (X̄yaş=22.05±3.87), 66’sı kadın (X̄yaş=22.27±3.82) olmak üzere toplam 190 sporcu katılmıştır. Sporculara “Kişisel Bilgi Formu”, “Sporda Zihinsel Dayanıklılık Envanteri” ve “Beş Faktör Kişilik Ölçeği” uygulanmıştır. Verilerin analizinde çoklu hiyerarşik regresyon analizi kullanılmıştır. Regresyon analiz sonuçları, nevrotiklik kişilik özelliğinin zihinsel dayanıklılığın güven (β=-0.27; p<0.01), devamlılık (β=-0.22; p<0.01) ve kontrol (β=-0.40; p<0.01) alt boyutlarının ve toplam zihinsel dayanıklılığın (β=-0.35; p<0.01) negatif yordayıcısı olduğunu göstermiştir. Ayrıca, dışa dönüklük kişilik özelliğinin güven (β=0.22; p<0.01), kontrol (β=0.19; p<0.05) alt boyutları; deneyime açıklık kişilik özelliğinin toplam zihinsel dayanıklılık (β=0,20; p<0.05) ve güven (β=0.20; p<0.05) alt boyutunun; sorumluluk kişilik özelliğinin ise devamlılık (β=0.40; p<0.01) ve toplam zihinsel dayanıklılığın (β=0.26; p<0.01) pozitif belirleyicisi olduğu da bulunmuştur. Sonuç olarak, sporcuların beş faktör kişilik özelliklerinin zihinsel dayanıklılığın belirlenmesinde rol oynadığı ortaya konulmuştur
Gilaburu<i> (viburnum</I><i> Opulus</I> L.) Fruit Extract Has Potential Therapeutic and Prophylactic Role in a Rat Model of Acetic Acid-Induced Oxidant Colonic Damage
No full textOMEROGLU GULADA, BEGUMHAN/0000-0001-9725-4450Ethnopharmacological relevance: Ulcerative colitis (UC) which has a global impact on the health care system with its recurrent and incompletely curable characteristics, affects the patients' quality of life. Gilaburu (GB; Viburnum opulus L.) is a fruit with rich polyphenol ingredient which is used ethnobotanically in T & uuml;rkiye for medicinal purposes (for example, to pass kidney stones, to treat stomach, heart, and liver diseases, hemorrhages, hypertension, ulcers, common cold, tuberculosis, rheumatic and menstrual pain, and diabetes). On the other hand, the effects of GB in the experimental UC model have not been studied.Aim of the study: This study aimed to explore the potential antioxidant and anti-inflammatory effects of GB fruit extract in improving acetic acid (AA)-induced UC.Materials and methods: Starting immediately after (AA + GB group) or 1 week before (GB + AA + GB group) the colitis induced by intrarectal AA (5%; v/v) administration, the rats orally received GB (100 mg/kg) once per day for 3 days. The control and AA groups were administered orally saline (1 ml), while the AA + SS group were administered sulfasalazine (SS; 100 mg/kg; orally) as a positive control once per day for 3 days. Distal colonic tissue specimens were obtained for the histological and biochemical [myeloperoxidase (MPO), malondialdehyde (MDA), glutathione (GSH), chemiluminescence (CL), caspase-3, 8-hydroxy-2(')-deoxyguanosine (8-OHdG), matrix metalloproteinase (MMP)-9, transforming growth factor (TGF)-beta(1), smad-3 and cytokine (tumor necrosis factor (TNF)-alpha, interleukin (IL)-1 beta, IL-6, IL-8, interferon (IFN)-gamma), measurements] evaluations on the 3(rd) day.Results: Elevated macroscopic and microscopic damage scores, high tissue wet weight values, increased tissue-associated MPO, MDA, CL, caspase-3, 8-OHdG, cytokines (TNF-alpha, IL-1 beta, IL-6, IL-8), MMP-9, TGF-beta(1), smad-3 levels, and decreased GSH values of the AA group were all reversed by GB treatments (AA + GB and GB + AA + GB groups) (p Conclusions: Gilaburu shows both anti-inflammatory and antioxidant effects against AA-induced colonic damage by suppressing neutrophil infiltration, regulating inflammatory mediators, inhibiting reactive species production, lipid peroxidation, and apoptosis, conserving endogenous antioxidant glutathione, and ameliorating oxidative DNA damage. Since the current ulcerative colitis drugs display limited benefits and adverse side effects, potential therapeutic and/or prophylactic role of gilaburu can be evaluated in ulcerative colitis.Marmara University Research Fund [SAG-C-YLP-200318-0099]This work was supported by Marmara University Research Fund (SAG-C-YLP-200318-0099) and presented at Joint Congress of FEPS and Turkish Society of Physiological Sciences, and published in abstract form in Acta Physiologica (2018); Vol.225 (Suppl. 716): 24.Science Citation Index Expande
Elastic Sac To Support Oral Feeding Performance of Preterm Infants: Crossover Randomized Controlled Study
No full textGENC, CANAN/0000-0002-2616-683X; Gozen, Duygu/0000-0001-9272-3561BackgroundSwaddling is recommended for preterm infants during feeding. Swaddling preterm infants with elastic cotton materials allows infants to easily stretch and move their extremities. This study aimed to assess the effect of bottlefeeding in a novel "elastic sac" on physiological parameters and feeding performance of preterm infants. MethodsA randomized controlled, crossover trial was conducted with total of 26 preterm infants at 26-36(+6) weeks of gestation. Infants randomly assigned to group 1 (n = 13) were bottlefed in an elastic sac (researcher-designed single-piece pouch made of soft, elastic cotton) for the first feeding and in normal clothes for the next feeding. Infants randomly assigned to group 2 (n = 13) were fed first in normal clothes and then in the elastic sac. The physiological parameters and feeding performance of the infants were assessed during each feeding. ResultsPreterm infants fed in the elastic sac had lower heart rate and higher oxygen saturation during and after feeding than infants fed in normal clothes (P 0.05). ConclusionA semielevated right lateral position and flexed body posture are recommended while feeding preterm infants, which can be easily maintained using the elastic sac. Feeding preterm infants in an elastic sac may support physiologic stability during oral feeding.Science Citation Index Expande
Plasma-Exchange Therapy in Acute Immune-Mediated Neuropathy: Effects on Muscle Strength and Functional Outcomes
No full textBackground and objectives. This study explores the impact of plasma exchange therapy (TPE) on muscle strength and functional outcomes in patients with acute immune-mediated neuropathy. Materials and methods. We retrospectively analyzed clinical data from patients diagnosed with acute immune-mediated neuropathy at the Department of Neurology, Bolan University of Medical Sciences, Baluchistan, from January 2016 to December 2021. Results. The study, comprising 141 patients with various neurological disorders, underscores the efficacy of plasma exchange therapy in improving muscle strength and functional outcomes, particularly in Guillain-Barré Syndrome (GBS). Notably, after four weeks of treatment, a significant proportion of patients demonstrated improved mobility, with 51.8% able to walk without assistance. However, despite the positive response to therapy, a small percentage (2.8%) experienced unfavorable outcomes marked by expiration. Additionally, the study identifies significant associations between treatment outcomes and patient characteristics, such as the number of plasma exchange cycles and diagnosis (p <0.05), emphasizing the importance of personalized treatment approaches in managing neurological disorders. Conclusions. Our findings underscore the effectiveness of plasma exchange in enhancing muscle strength and functional outcomes in acute immune-mediated neuropathy, particularly GBS. © 2024, Amaltea Medical Publishing House. All rights reserved
Functional and Matrix Approximation of Numerical Solution of Haar Wavelet
No full textIn this article, a uniform Haar wavelet approach is devised to numerically solve the differential equations. The uniform Haar wavelet coefficients are generated by employing collocation points. The generalized approach for function and matrix approximation using Haar wavelets is proposed. This study aims to decide which method is more useful by reflecting on the differences between the two methods. Also, the application of Haar wavelets to the solution of a first and second-order ODE is described in this research. To assess its applicability and efficiency, two test problems are used. The findings obtained are compared to those obtained using the function and matrix approximation methods. For numerically solving first and second-order ODEs, the Haar wavelet methodology gives a more reliable and exact method. By estimating error norms for various problems, the performance and accuracy of the method have been shown.Science Citation Index Expande
Sick Relationship with Work Stress as a Psychosocial Risk: A Shopping Mall Example
No full textRecently, buildings, residences, plazas, shopping malls, skyscrapers and towers that have been rising all over the world have begun to form our living spaces as smart structures where private, social and business lives are carried out. The fact that these closed spaces threaten the health of people living and working in them and cause diseases, has led to these buildings being called “sick building syndrome (SBS)”. Sick building syndrome results in the health of people who spend time and work in these buildings being affected both physically and psychologically. The aim of this study is to reveal the symptoms of sick building syndrome and its effects on stress, which is a psycho-social risk at workplace. A cross-sectional study conducted in two randomly selected shopping malls in Turkey involved 268 employees. Research findings indicate that employees suffer from symptoms like dry throat, runny nose, eye irritation, headaches, muscle-joint pain and fatigue. Additionally, it has been observed that these symptoms intensify during peak weekend traffic Moreover, the sick buildings phenomenon increases the stress levels of employees’ due to the conditions associated with enclosed spaces. © 2024. Published by AHFE
Yaşlı Bireylerde Kırılganlık, Başarılı Yaşlanma ve Fiziksel Aktivite Düzeyleri Arasındaki İlişkinin İncelenmesi
No full textAmaç: Bu çalışmada amaç yaşlı bireylerde kırılganlık, başarılı yaşlanma ve fiziksel aktivite düzeyleri arasındaki ilişkiyi incelemektir. Yöntem: Veriler, 65 yaş ve üzeri 99 gönüllü katılımcıdan toplandı. Anket, Google Forms bağlantısı aracılığıyla online olarak iletildi. Çalışmada, katılımcıların kırılganlık seviyelerini değerlendirmek için Tilburg Kırılganlık Ölçeği (TKÖ), başarılı yaşlanma durumlarını belirlemek için Başarılı Yaşlanma Ölçeği (BYÖ) ve fiziksel aktivite düzeylerini ölçmek için Uluslararası Fiziksel Aktivite Ölçeği Kısa Formu (IPAQ-SF) kullanıldı. Bulgular: Çalışmanın sonuçları, TKÖ toplam puanı ile BYÖ toplam puanı arasında anlamlı, orta düzeyde negatif bir korelasyon olduğunu ortaya koymuştur. Ayrıca, BYÖ toplam puanı ile IPAQ-SF toplam puanı arasında anlamlı, zayıf düzeyde pozitif bir korelasyon bulunmuştur (s=0,982; p<0,001). TKÖ'nün fiziksel bileşen alt parametresi ile IPAQ-SF toplam puanı arasında zayıf düzeyde negatif bir korelasyon olduğu tespit edilmiştir. Ayrıca, TKÖ toplam puanı ile BYÖ'nün sağlıklı yaşam biçimi alt parametresi arasında anlamlı, yüksek düzeyde negatif bir korelasyon bulunmuştur (s=-,0634; p<0,001). Sonuç: Daha aktif yaşlı bireylerin, hem sağlıklı yaşam tarzına sahip olduğu hem de daha düşük kırılganlık seviyeleri sergilediği belirlenmiştir. Kadınların, erkeklere göre istatistiksel olarak daha kırılgan ve daha inaktif olduğu tespit edilmiştir. Yaş ilerledikçe kırılganlık düzeyinin arttığı gözlemlenmiştir
Pisagor Bulanık Sayılara Dayalı Crıtıc-marcos Yöntemi İle Otonom Forklift Seçimi
No full textÜretim ve depolama işletmelerinde forkliftler işletmenin verimliliğini arttırmak amacıyla yaygın olarak kullanılmaktadır. Özellikle son yıllarda teknolojide yaşanan gelişmeler ve Endüstri 4.0 uygulamaları ile otonom forkliftler modern işletmelerde klasik forkliftlerin yerini almaktadır. Çevre dostu ve 24 saat çalışabilen bu araçlar ile işletme bünyesinde verim artırılırken aynı zamanda insan hatasından kaynaklı kazalar da önlenebilmektedir. Bu çalışma, modern işletmelere otonom forklift belirleme sürecinde destek olmak üzere geliştirilmiştir. Bu araçların seçiminde hangi kriterlerin dikkate alınması gerektiği literatür taraması sonucunda belirlenmiştir. Bu süreçte yaşanabilecek belirsizlik ve sübjektifliğin etkilerini en aza indirebilmek amacıyla Pisagor bulanık sayılardan yararlanarak problem çözülmüştür. CRITIC (Criteria Importance Through Intercriteria Correlation) yöntemi ile kriterlere ait ağırlıklar belirlendikten sonra MARCOS (Measurement of Alternatives and Ranking according to COmpromise Solution) yöntemi kullanılarak alternatifler değerlendirilmiştir. Sonuç olarak, belirlenen sekiz farklı kriter içerisinden şarj süresi, dönme yarıçapı ve maksimum kaldıracağı yük miktarı en önemli kriter olarak belirlenmiştir. Farklı değerlendirme kriterleri için en iyi alternatif olarak Kuzey Amerika’da üretilen A7 alternatifi belirlenmiştir