Purpose: To evaluate the prognostic potential of systemic inflammatory index in the course of retinopathy of prematurity (ROP). Methods: This is a retrospective case-control study. 303 infants with a ...gestational age of ≤35 weeks were screened with and without ROP at birth and 1 month after the birth of complete blood counts (CBC) were included in this study. Serum neutrophil-to-lymphocyte ratio (NLR), lymphocyte-to-monocyte ratio (LMR), platelet-to-lymphocyte (PLR), and systemic immune-inflammation index (SII) was calculated at birth and one month after. LMR was calculated by dividing the absolute lymphocyte count by the absolute monocyte count. NLR and PLR were determined by dividing the absolute neutrophil count or the absolute platelet count by the absolute lymphocyte count, respectively. The SII was calculated by the formula = neutrophilxplatelet/lymphocyte. All statistical analyses were performed using SPSS 22 (SPSS for Windows, version 22.0; SPSS, Inc. Chicago, IL, USA). Results: A total of 303 infants were included 145 with ROP and 158 without ROP. The NLR, LMR, PLR and SII values were 0.56 ± 1.17/0.51 ± 1.04 (P = 0.997), 13.7 ± 18/9.49 ± 13.1 (P = 0.014), 31.69 ± 68/24.1 ± 37.7 (P = 0.268), 131.42 ± 326/124.66 ± 267 (P = 0.935) in with ROP and without ROP infant at birth respectively. The NLR, LMR, PLR, and SII values were 0.68 ± 1.27/0.34 ± 0.99 (P = 0.001), 2.58 ± 6.01/2.46 ± 14.5 (P = 0.706), 47.5 ± 78.33/33.55 ± 42.4 (P = 0.035), and 253 ± 681/114 ± 345 (P = 0.001), respectively in with ROP and without ROP infant at 1 month after birth. Conclusion: The NLR, PLR, and SII seem an independent predictor of the development of ROP.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Background
It is important for public health to determine the awareness of cervical cancer, which is preventable and treatable when detected at an early stage.
Aim
This study was conducted to ...determine female academicians' attitudes towards prevention and early diagnosis of cervical cancer and the factors affecting them.
Methods
This descriptive study was conducted with 211 female academicians working in all departments of a university. In the study, the data were collected using questionnaire form, the attitude scale for early diagnosis of cervical cancer, and the attitudes towards prevention of cervical cancer scale.
Results
It was determined that 68.2% of the female academicians had knowledge about the pap smear test; however, 41.0% of them did not have the test because they could not find time, and 56.4% had the knowledge about the pap smear test from a healthcare professional. It was determined that academicians had lower scores from the Attitude Scale for Early Diagnosis of Cervical Cancer (88.55 ± 9.75) and above‐average scores from the Attitudes Towards Prevention of Cervical Cancer Scale (74.30 ± 15.92). It was found that area of expertise, income status, history of infectious disease, and vaginal douching affected both the early diagnosis of cervical cancer and the attitudes towards prevention of it.
Conclusion
The female academicians inadequate attitudes towards early diagnosis of cervical cancer and better attitudes towards prevention. Nurses and administrators should encourage female academics and all women to screen for cervical cancer.
Aim:The purpose of this study is to research the effect of repeated theoretical and practical up to date basic life support (BLS) training that provides teachers the opportunity to improve knowledge ...and skill levels.Materials and Methods:This research was a pre-test, post-test, quasi-experimental study. The scope of the study included 65 teachers who participated in theoretical and practical up to date BLS training thirty days apart. A survey form including 19 questions was administered to determine pre-test and post-test theoretical knowledge about BLS. Skill level in BLS was assessed via BLS simulator model in terms of the followings; correct hand positioning, correct head positioning, sufficient depth and frequency of chest compressions.Results:A significant difference was found between pre-test level of knowledge before BLS training and post-test after the second training session (p<0.05). The levels of competence for correct hand positioning (38.2% vs 61.8%; p=0.001), correct head positioning (27.6% vs 72.4%; p=0.006) and adequate compression frequency (35.0% vs 65.0%; p=0.005) increased and excessive compression rate (40.0% vs 60.0%; p=0.005) rose when pre-test and post-test levels were compared.Conclusion:Promoting teachers’ up to date BLS knowledge and skills with continuous training is beneficial. Repeated BLS training showed that the ability of the participants to develop adequate compression frequency with correct hand and head positioning was increased.
Dünya’da artan
yaşlı nüfus ile birlikte yaşlı istismarı araştırılması ve üzerinde durulması
gereken konular arasına girmeye başlamıştır. Yaşlanma süreci ile birlikte
bireyin baş etmesi gereken ...toplumsal, fiziksel, psikolojik ve ekonomik süreçler
yaşlıyı büyük oranda sıkıntıya sokmaktadır. Bu süreçte yaşlı bireylere gereken
desteği vermek en başta aile üyelerine düşmektedir. Ancak yaşlı istismarı
değerlendirildiğinde, yaşlıların çoğunlukla aile üyeleri tarafından istismar
edildiği ve genellikle duygusal, fiziksel, ekonomik ve psikolojik istismara
maruz kaldıkları görülmektedir. Yaşlı istismarı “Güven beklentisi olan herhangi bir ilişkide yaşlıya zarar veren veya
strese sokan tek ya da tekrarlayan uygunsuz davranışlarda bulunulmasıdır”
şeklinde tanımlanmaktadır. Aynı zamanda, istismar yaşlıları inciten, yaralayan,
psikososyal sorunlara yol açan önlenebilir bir sorundur. Sağlık çalışanlarının
büyük çoğunluğunun çocuk istismarına yoğunlaşması yaşlı istismar ve ihmalinin
genellikle göz ardı edilen bir konu olmasına sebep olmuştur. Bu derlemede,
yaşlı istismarı, istismarı etkileyen faktörler ve konuyla ilgili yapılmış
çalışmalara ve hemşirenin bu konudaki sorumluluklarına yer verilmiştir.
OBJECTIVE Spiritual care is one of the main domains of cancer patients" care to improve their quality of life. Nurses should assess the patient" and caregivers" spiritual needs comprehensively. We ...aimed to determine the spiritual care competence of oncology nurses and their perspectives on spiritual care services. METHODS A total of 123 oncology nurses who work in the hospitals with spiritual care services in Turkey were enrolled in this study. The data were collected using the "Information Form" and "Spiritual Care Competence Scale." RESULTS About 30.1% of the nurses stated that they care about the spiritual care needs of their patients/caregivers and 29.3% of the nurses gave information to patients and caregivers about spiritual care services and refer them to these centers. About 31.7% of nurses did not know about the role of spiritual care specialists. It was found that there is a significant and positive correlation between the age and working year of nurses and the mean scores of the "Spiritual Care Competence Scale" and subscale (p<0.05). The total and subscales mean scores of the Spiritual Care Competence Scale were statistically significantly different by the education level of nurses and the status of reporting the effectiveness of spiritual care services (p<0.05). CONCLUSION The results of this study show that oncology nurses" spiritual care practices are insufficient. The education level, age, and working year of the oncology nurses affect their spiritual care competencies. It is thought that oncology nurses needed to be more competent in spiritual care.
The primary purpose of the current study was to establish Turkish smoothed centile charts and Lambda, Mu, Sigma (LMS) tables for four-site skinfold thickness based on a population-based sample, and ...secondary purpose was to elaborate a reference for the percentage of body fat.
A cross-sectional and descriptive study was conducted between January and May 2017. Triceps, biceps and subscapular, suprailiac skinfold thicknesses were measured using Holtain skinfold caliper. Age- and gender-specific percentile values were determined with the LMS method, and body fat percentage was calculated using the Westrate and Deurenberg equation.
Afyonkarahisar province in Turkey.
The current study was conducted on 4565, 6-18-year-old students.
The triceps, biceps and subscapular skinfolds of the girls were higher than the boys. From the age of seven, the sum of four skinfold thicknesses of the girls was more than those of the boys. This difference became more evident after the age of 12. Although fat percentages of girls showed a fluctuating change, it decreased with the age in boys. Westrate and Deurenberg equation fat percentages of girls until adolescence were lower than boys, but increased after 12 years of age and exceeded that of boys.
The current study has provided sex- and age-specific reference values for skinfold thickness and has shown that obesity in girls is higher than in boys in schoolchildren in Afyonkarahisar. The current study has also shown that skinfold thickness measurements are a valuable tool for screening obesity in children.
Background: Nurses, who constitute the vast majority of the health sector and are an important part of the sector, have continued to provide care during uncertainties such as increased workload ...during the COVID-19 pandemic, uncertainty about the mechanism of the virus, difficult decisions, inadequate supply of protective equipment, fear of getting infected and infecting their relatives, witnessing the deaths of their patients, and meeting the complex needs of patients. Aims: This study was carried out to determine the emotional labor behavior and compassion fatigue of nurses who cared for individuals with COVID-19 during the pandemic, determine the factors affecting these two concepts, and examine the relationship between these concepts. Method: This research used a descriptive cross-sectional study design. Reporting of this study has been verified in accordance with the STROBE checklist. This study was carried out in hospitals in Turkey who were reached through online surveys between July and August 2020. The sample group consisted of 180 nurses who were directly involved in COVID-19 patient care. Research data were collected using a personal information form, the Emotional Labor Behavior Scale for Nurses, and the Compassion Fatigue-Short Scale. The participating nurses completed the online survey forms. Results: In-depth and sincere behavior scores of nurses under the age of 30 were significantly higher than nurses aged 30 and over, and female nurses' compassion fatigue, secondary trauma, and professional burnout scores were significantly higher than male nurses' scores (p<0.05). The compassion fatigue and its subdimension scores of the nurses who cared for individuals with COVID-19 longer than three months were significantly higher than those who cared for a shorter time (p<0.05). Although there was no significant difference between the total scale and sub-dimension scores of the nurses diagnosed with COVID-19, the secondary trauma score of those who had COVID-19 was significantly higher than those who did not (p<0.05). A negative, significant, and very weak relationship was found between superficial behavior and compassion fatigue and its sub-dimensions (p<0.05). Conclusions: Young nurses reflected their feelings deeply and sincerely. Female nurses and nurses who cared for individuals with COVID-19 longer experienced more compassion fatigue, secondary trauma, and professional burnout. As the nurses' level of superficial behavior increased, compassion fatigue, secondary trauma, and occupational burnout decreased.
OBJECTIVECardiovascular diseases still play an important role in public health and epidemiol- ogy as the leading cause of death worldwide. Ischemic heart disease is the most common reason in this ...group. This study aims to analyze the latest trends in ischemic heart disease mor- tality rates in Turkey by age, gender, and region using the Turkish Statistical Institute mortality data and evaluate the results. METHODSWe have obtained ischemic heart disease mortality data (2009-2019, in 12 regions) for Turkey from the mortality database of the Turkish Statistical Institute. Joinpoint analysis was used to estimate the annual percentage change and average annual percentage change to identify significant changes in trends. RESULTSThe mean mortality rate for ischemic heart disease in Turkey was in an increasing trend from 2009 to 2019 (annual percentage change=1.7 (-0.8; 4.3), P=.166). This increase was more pronounced in women (annual percentage change=2.2 (-0.7; 5.2), P=.121) compared to men (annual percentage change=1.4 (-1.1; 3.9), P=.235). When the period between 2015 and 2019 was evaluated, it was determined that ischemic heart disease mortality was in a decreasing trend in the groups over 65 years of age. The death rate due to ischemic heart disease is almost 2 times higher in men than in women in Turkey, and this rate ratio is highest in the Istanbul region. CONCLUSIONAlthough ischemic heart disease mortality trends have decreased globally, our country's average is still on an increasing trend. However, significant decreases have been observed in ischemic heart disease mortality rates, especially in the group over 65 years of age, in the last 5 years.
This study was conducted to examine the use of integrative treatment methods by individuals with COVID-19 using Pender’s health promotion model. During the analysis of the themes, we observed that ...individuals’ decisions to start integrative treatment were affected by uncertainty related to COVID-19, desire to recover and strengthen immunity, and thinking that there would be permanent damage due to the disease. Integrative treatment methods were frequently used by individuals who had COVID-19, and these methods were primarily based on non–evidence-based information sources and not disclosed to health care professionals.
•Individuals who had COVID-19 reported greater use of vitamin C and herbs.•The suggestions of social media, families, and friends were influential in the use of integrative therapy.•Patients with COVID-19 felt safer when using integrative treatment.
This study is designed to evaluate the potential effects of age, period and cohort (APC) on trends in suicide between 1983 and 2013 in Turkey.
Mortality data were obtained from the Turkish ...Statistical Institute. The data were grouped into seven age groups, four periods and ten birth cohorts. A nonlinear regression model was estimated for both sexes. The effects of age, period and cohort were parameterized using natural spline smoothing functions.
There were 61,795 deaths recorded as suicides during the investigated time period, where 64.5% occurred in males (n = 39,862) and 35.5% in females (n = 21,933). There is an upward trend in mortality by age until the end of the study period for males and females. Age effect is decreased until the forties, kept decreasing during the middle ages, and sharply increased after the sixties. The death rates for females declined from 1999 until the end of the study period. For males, the death rates increased until the end of the study period.
If the current trends continue, it can be expected that these effects will continue to reduce female mortality and increase male mortality. Future studies on suicide, strongly focused on specific factors attributed to period effects, are needed in Turkey.
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