37 research outputs found
The effect of motor learning-based telerehabilitation on quality of life of children with cerebral palsy during the COVID-19 pandemic
No full textBackground : Duringthepandemic, theaccessofchildrenwithcerebralpalsy(CP) torehabilitationserviceswasadverselyaffectedduetothesignificantriskofinfection. Aims: Weassessedwhethertheeffectofamotorlearning-basedtreatmentprovidedviaatelerehabilitationmethodonthequalityoflifeofchildrenwithcerebralpalsyduringtheCOVID- 19periodwasequivalenttofaceto-facetreatment. Methods: Distanceexerciseswereexplainedbyaphysiotherapisttothepatientsinthetelerehabilitationgroup, andmotorlearning-basedtreatmentwasappliedbytheirfamilies; thephysiotherapistfollowedthesessionswithvideoconferencing. Motorlearning-basedtreatmentwasofferedtotheface-to-facegroupbyaphysiotherapistintheclinic. Results: Inthecomparisonbetweenthegroups, therewasasignificantdifferenceintheparametersofplayactivities, pain-hurt, fatigue, eatingactivities, andspeechcommunicationactivitiesaftertreatment(p0.05). Conclusion: Motorlearning-basedtreatmentprovidedusingthetelerehabilitationmethodhasapositiveeffectonthequalityoflifeofchildrenwithCP, buttheresultsaresimilartoface-to-facetreatment.100/2000 Council of Higher Education (CoHE) PhD Scholarship in Physiotherapy and RehabilitationThis research did not receive any specific grant from funding agencies in the public, commercial, or not-for-pro fit sectors. Author Rabia Celikel and Engin Ramazanoglu have received a 100/2000 Council of Higher Education (CoHE) PhD Scholarship in Physiotherapy and Rehabilitation
The routine use of pediatric airway exchange catheter after extubation of adult patients who have undergone maxillofacial or major neck surgery: a clinical observational study
No full textThe operation of biopower and biopolitics in the implementation process of reproductive health policies in Peru
No full textIn present-day societies, human life is often an arena of debate within which claims of morality, knowledge, and truth are contested. The meaning of human life, as well as the right to exert control over the bodies that create this life, are constructed by various discourses. In this process, special attention is paid to human bodies with particular capacities and needs, such as women’s bodies. The reproductive capacity of women’s bodies has long been considered central to defining the meaning of being a woman in Western societies. This gender essentialism related to the maternal role guides some reproductive health policies, which are implemented within a complex architecture of discourses, institutionalized social stratification, biopower and biopolitics. The Peruvian case offers clear examples of this situation.
In Peru, reproductive healthcare policy has been irregularly implemented throughout the last twenty years, mostly due to the strong influence that conservative Catholic groups have been able to exert on the Peruvian Government. The discourse articulated by these groups asserts that human life begins at the moment of conception and is a gift from God; therefore, no one should be permitted to interfere in the processes of human life from conception until death. This sacralisation of human life has been progressively constructed within Catholic doctrine, which today incorporates selective interpretations of scientific knowledge in support of its claims. This discourse about human life directly and adversely affects Peruvian women’s bodies and lives. Due to their reproductive capacity, the conservative Catholic discourse considers women as bearers of human life. However, their decision-making power about the creation of this life is not taken into account in this discourse, especially when this decision-making power is linked to the exertion of sexual and reproductive rights. The influence of conservative Catholic discourse on the implementation process of Peru’s reproductive health policy is thus the central focus of this thesis.
The analysis offered in this thesis is informed by a feminist critical discourse analysis of Peruvian politics, policy and law relating to three key issues: coercive sterilisation of indigenous Peruvian women during the regime of Fujimori (1996-2000), the ongoing lack of access to safe and legal abortion, and the 2009 Constitutional Court ban on the distribution of free emergency contraception within the public health sector. My analysis reveals that the Catholic interest in, and influence on, reproductive health policy was largely stimulated by Fujimori’s policy of coercive sterilization, which was in turn prompted by a eugenic discourse that conservative Catholic groups, among others within Peruvian civil society, actively denounced. This opposition consolidated the influence of conservative Catholic discourse within the political domain. Further, I suggest that the actions of the State, increasingly influenced by Catholic interests, can best be understood in terms of Foucault’s concept of biopower, with reproductive health policy being the primary tool used to effect the State’s biopolitical agenda. As I illustrate, the influence of Catholic discourse on reproductive policy and practice is most clearly evident in the ongoing impediments placed in the way of women trying to access therapeutic abortions, and the prohibition of the free distribution of the emergency contraceptive pill via the public health system. Even in the face of local and international condemnation, the State persists in its non-compliance with the provisions of international human rights agreements, a failure which I suggest can only be understood by acknowledging the defining influence of Catholic discourse and interests within Peru’s political domain.
The significance of this thesis thus lies in its analysis of the discourses and political machinations that restrict the exertion of Peruvian women’s sexual and reproductive rights. These constraints are achieved through the operation of biopower enacted through the implementation of various reproductive health policies. This situation, I suggest, confines women via a constructed “naturalness” that reproduces essentialist notions of gender. As the case studies presented in this thesis demonstrate, a vital component of this discursive essentialisation of the maternal role is the identification of women as reproductive bodies that can be regulated and managed in accordance with the interests and discursive affiliations of the State, as opposed to individual citizens with autonomous decision-making power over their bodies and their own lives
Cost analysis of ventilator-associated pneumonia in Turkish medical-surgical intensive care units Analisi dei costi della polmonite associata a ventilazione in Unità di Terapia Intensiva medico-chirurgiche in Turchia
No full textConsideration of difficulties and exit strategies in a case of face allotransplantation resulting in failure
No full text
Investigating performance-based hand functions in patients with systemic sclerosis Untersuchung der leistungsbasierten Handfunktion bei Patienten mit systemischer Sklerose
No full text© 2022, The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.Objective: Systemic sclerosis (SSc) is a connective tissue disorder characterized by collagen deposits in various organs. Skin involvement is one of the most common symptoms and along with vascular damage, may deteriorate hand functions. However, the status of hand functions has generally been investigated using patient-reported measures in patients with SSc. The aim of the present study was to investigate performance-based hand functions in patients with SSc using the Sollerman Hand Function Test (SHFT). Methods: A total of 39 patients with SSc (33 females) were included in the study. Twenty-four patients were classified as limited cutaneous SSc (lcSSc), while 15 patients were classified as diffuse cutaneous SSc (dcSSc). Hand-related physical characteristics were evaluated using the Modified Hand Mobility in Scleroderma Test, grip strength, and pinch strengths. The Duruoz Hand Index (Cochin Hand Functional Disability Scale), Disability of Arm, Shoulder, and Hand Questionnaire, Health Assessment Questionnaire, and Scleroderma Health Assessment Questionnaire were used as patient-reported measures. Performance-based hand functions were evaluated using SHFT. Results: No significant differences were observed between lcSSc and dcSSc subtypes regarding performance-based and patient-reported hand functions (p > 0.05). SHFT scores significantly correlated with hand-related physical characteristics and patient-reported hand functions (p < 0.05). The highest correlation was determined between SHFT and the Duruoz Hand Index (rho: −0.652, p < 0.001). Conclusion: According to our results, performance-based hand functions seem not to be affected by disease subtype. Performance-based hand functions may partially be captured by the patient-reported outcomes, especially the Duruoz Hand Index, in patients with SSc
Current Statement of Intensive Care Units in Turkey: Data obtained from 67 Centers
No full textOBJECTIVES: We aimed to obtain information about the characteristics of the ICUs in our country via a point prevalence study. MATERIAL AND METHODS: This cross-sectional study was planned by the Respiratory Failure and Intensive Care Assembly of Turkish Thoracic Society. A questionnaire was prepared and invitations were sent from the association's communication channels to reach the whole country. Data were collected through all participating intensivists between the October 26, 2016 at 08:00 and October 27, 2016 at 08:00. RESULTS: Data were collected from the 67 centers. Overall, 76.1% of the ICUs were managed with a closed system. In total, 35.8% (n=24) of ICUs were levels of care (LOC) 2 and 64.2% (n=43) were LOC 3. The median total numbers of ICU beds, LOC 2, and LOC 3 beds were 12 (8-23), 14 (10-25), and 12 (8-20), respectively. The median number of ventilators was 12 (7-21) and that of ventilators with non-invasive ventilation mode was 11 (6-20). The median numbers of patients per physician during day and night were 3.9 (2.3-8) and 13 (9-23), respectively. The median number of patients per nurse was 2.5 (2-3.1); 88.1% of the nurses were certified by national certification corporation. CONCLUSION: In terms of the number of staff, there is a need for specialist physicians, especially during the night and nurses in our country. It was thought that the number of ICU-certified nurses was comparatively sufficient, yet the target was supposed to be 100% for this rate
An examination of the Lithuanian fashion designer's use of marketing in their success
No full textThe aim of this research is to provide young fashion designers in Lithuania with information on how to become recognised and successful. There is an increased interest and demand for fashion within Lithuania but limited literature regarding this developing industry, therefore comparators are drawn from available literature about the more established British fashion industry. A principal objective to this enquiry was to investigate how the Lithuanian fashion houses used marketing tools to achieve popularity and fame. Qualitative, in-depth and semi-structured interviews with three Lithuanian designers at their studios in Lithuania were conducted about how they became established and the roles of marketing, branding and PR, creativity and talent, consumer’s trust and reliance and finances. Results indicate the following helped the designer entering the industry: identifying a niche market, combining talent and creativity with business knowledge, a good preparation for the industry, finance management, appropriate funding, business partner and networking, the importance of branding, and the implications with the consumers’ addiction to famous brands. This research contributes to the existing literature on the Lithuanian fashion industry and the general scholarly debate on the importance of marketing and branding in the fashion industry. The study identifies prospects for and opportunities to improve the Lithuanian fashion industry and concludes with recommendations for the designer’s preparation for the industry, and identifies issues for further research such as: individual clients versus collections, the right time to start, consumerism, or fashion in the future
