This study aims to investigate the effects of intraoral cold water spray on thirst, frequency of oral care and postoperative period pain at surgical incision site in patients having abdominal ...surgery. The study was carried out as a randomized controlled trial, registered under Clinical Trial Number: NCT05940818. The study involved 110 participants, divided equally into two groups (n = 55): the experimental group and the control group. Data were collected using patient information form, NRS, Intensive Care Oral Care Frequency Assessment Scale (ICOCFAS) and Visual Analog Scale (VAS). The severity of thirst at 1st, 8th, 16th h of post-operative period (p < 0.01) and the frequency of oral care application at 16th h were statistically significantly decreased in the experimental group when compared to the control group (p < 0.01).There wasn't statistically significant difference between the patients in the experimental and control groups in terms of pain at surgical incision site (p > 0.05). The patient's thirst and need for frequent oral care in the postoperative period were reduced by the application of a cold water spray. In patients undergoing abdominal surgery, the use of cold water spray application may be recommended to reduce thirst and the need for frequency of oral care application.
Titanium-based alloys are used in orthopedic applications as fixation elements, hard tissue replacements in artificial bones, and dental implants. Despite their wide range of applications, metallic ...implant defects and failures arise due to inadequate mechanical bonding, postoperative clotting problems, aseptic loosening, and infections. To improve the surface bioactivity and reduce the corrosion rate of the Ti6Al4V alloy, multi-layered coatings (HAp, BG, Cs, and Hep) were applied via electrophoretic deposition (EPD). XRD images showed the presence of HAp within the coating. In vitro investigation: cell line NIH-3T3 fibroblasts were seeded on the non-coated and coated Ti6Al4V substrates, and their cellular behavior was evaluated. The results indicated that the HApBGCsHep coating could enhance the adhesion and proliferation of NIH 3T3 cells. In addition, the potentiodynamic polarization results are compatible with the in vitro outcome.
Peripheral venous catheter is a clinical procedure often performed by nurses in hospitals. Phlebitis can be prevented with more nursing care by applying peripheral venous catheter by trained nurses ...and using preventive methods. The aim of this study was to investigate the effect of proximal massage and palm fisting on the prevention of phlebitis in patients with a peripheral venous catheter (PVC).
This randomized controlled study was conducted with patients who were hospitalized in the orthopedics and traumatology service of a state hospital and had PVC. While the study group (n = 36) received proximal massage and palm fisting on the side with a peripheral venous catheter, the control group (n = 36) received standard care for PVC. The data were collected by using the "Patient Demographics and Clinical Information Form", "Risk Scale for Peripheral Venous Catheter-related phlebitis", "Visual Infusion Phlebitis Assessment Scale". There were no statistically significant differences between the groups regarding phlebitis development based on age, sex, chronic disease status, peripheral venous catheter insertion site, devices in the PVC, or fluids administered from the PVC. However, there was a significantly higher risk of PVC-induced phlebitis in patients who received proximal massage and palm fisting at 48 and 96 hours, when the severity of phlebitis was evaluated on daily basis.
The study showed promising results, suggesting that proximal massage and palm fisting may be a simple and inexpensive technique to prevent the occurrence of phlebitis in PVC patients.
NCT05714137.
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•β-TCP remained the major phase when Sr and Cl contents introduced.•The stabilizing effect of Sr on the β-TCP structure inhibited the formation α-TCP.•The binary combination of ...co-dopants significantly affects the microstructure.
The strontium (Sr2+) and chlorine (Cl−) substituted tricalcium phosphate (TCP) were synthesized via aqueous precipitation method. To understand the effect of the Sr2+ and Cl− doping on mechanical properties of tricalcium phosphate (TCP) ceramics, dense TCP compacts of different compositions were prepared and sintered at 1100 °C for 1 h. X-ray diffraction of sintered samples revealed that dopants turn into β-TCP to HA phase transformation during sintering. The binary combination and amount of co-dopants significantly affect the microstructure. The microhardness of the samples increased with increasing of the Sr2+ and Cl− ion concentrations. Cl− ion addition, 2.5–10 mol% affect micro hardness results negatively. A comparison between samples were carried out and differences were considered statistically significant at p < 0.05 (standard deviation: 1.2296 GPa).
Background
For long‐term success of dental implants, it is essential to maintain the health of the surrounding soft tissue barrier, which protects the bone‐implant interface from the microorganisms. ...Although implants based on titanium and its alloys still dominate the dental implant market, alumina (Al2O3) and zirconia (ZrO2) implant systems are widely used in the area. However, they provide smooth and bioinert surfaces in the transmucosal region, which poorly integrate with the surrounding tissues.
Objective
The main aim of this research was to investigate the surface characteristics and biocompatibility of chitosan‐coated alumina and zirconia surfaces.
Materials and Methods
The substrates were coated via solution casting technique. Additionally, an aging process with a thermocycle apparatus was applied on the coated materials to mimic the oral environment. To define the morphology and chemical composition of the surfaces of untreated, chitosan‐coated, and chitosan‐coated‐aged samples, scanning electron microscopy and energy dispersive X‐ray spectrometry were used. The phases and bonds characterized by Fourier transform infrared spectroscopy and X‐ray diffraction analysis. The human gingival fibroblast cells were used to evaluate cytocompatibility by a 3‐(4,5‐dimethylthiazol‐2‐yl)‐2,5‐diphenyl‐tetrazolium salt assay.
Results
It was observed that both substrates were successfully coated with chitosan and the aging process did not significantly affect the integrity of the coating. The attachment and proliferation of human gingival fibroblast cells were shown to be good on both kinds of chitosan‐coated surfaces.
Conclusion
Coating zirconia and alumina surfaces with chitosan is an efficient surface modification for increasing biocompatibility and bioactivity of these materials in vitro.
Students who will become health professionals should be educated according to universal standards of providing foreign patients with culturally satisfying health care, free from discrimination.
This ...study aims to identify the relationship of intercultural effectiveness and awareness with xenophobia in undergraduate nursing students and vocational schools of health services students.
This descriptive study was conducted with undergraduate nursing students (N= 257) and vocational schools of health services students (N = 341) in a region with a high refugee population in Turkey. Data were collected through the “Intercultural Awareness Scale,” the “Intercultural Effectiveness Scale,” and the “Xenophobia Scale.”
Of all the participants, 70.1% were females, and the mean age was 20.70 ± 2.64 years; 57% of the students were from the vocational school students, and 43% from the undergraduate nursing program. Female students had significantly higher scores in intercultural effectiveness, behavioral flexibility, xenophobia (p = 0.036, p = 0.041, p = 0.001, respectively), interaction relaxation and interactant respect (p < 0.001, p < 0.001), while male students had significantly higher intercultural awareness (p < 0.001). The median intercultural effectiveness score of the students living in the rural area was low (p = 0.044), and the median xenophobia score of the students who lived abroad was significantly lower (p = 0.032). There was a negative correlation between the Intercultural Effectiveness Scale total and Intercultural Awareness and Xenophobia Scale total mean scores (r = -0.085, r = 0.182), and there was a weak, positive correlation between the Intercultural Awareness Scale total mean scores and the Xenophobia Scale mean scores (r = 0.113).
Intercultural sensitivity is considered to be improved by including course content in the curriculum to improve students' intercultural effectiveness and awareness levels and decrease their xenophobic prejudices.
•Healthcare professionals should be educated about the cultural characteristics of the patients.•Results showed that the nursing students and vocational students had high level of xenophobia.•The results highlighted the need for effective education programs for intercultural health care.•While the intercultural awareness perception was increasing, xenophobia was decreasing.
Background: Noise is one of the important stressors in intensive care. Aim: The purpose of this study is to identify the effects of noise on vital signs and anxiety levels of patients hospitalized in ...the General Surgery Intensive Care Unit (GSICU). Methodology: This descriptive study was conducted with 77 patients selected via power analysis who were hospitalized in the GSICU of a Training and Research hospital and agreed to participate in the study. Data were collected through the "Socio-demographic Form", the "State and Trait Anxiety Inventory" the "VAS", the "Vital Signs and Sound Level Meter Forms". Results: The results showed that the mean sound level in the GSICU was 56,18 dB. This value is higher than the value recommended for hospitals. The patients were reportedly disturbed mostly by the bed-side monitor sounds. No significant correlations were found between noise and trait/state anxiety, systolic /diastolic pressure, pulse, respiration, and body temperature (p>0.05). Conclusion: It is recommended to make a periodical assessment of the effects of hospital noise on patients and workers within the framework of the Quality Health Service Standards.
Background: Noise is one of the important stressors in intensive care. Aim: The purpose of this study is to identify the effects of noise on vital signs and anxiety levels of patients hospitalized in ...the General Surgery Intensive Care Unit (GSICU). Methodology: This descriptive study was conducted with 77 patients selected via power analysis who were hospitalized in the GSICU of a Training and Research hospital and agreed to participate in the study. Data were collected through the "Socio-demographic Form", the "State and Trait Anxiety Inventory" the "VAS", the "Vital Signs and Sound Level Meter Forms". Results: The results showed that the mean sound level in the GSICU was 56,18 dB. This value is higher than the value recommended for hospitals. The patients were reportedly disturbed mostly by the bed-side monitor sounds. No significant correlations were found between noise and trait/state anxiety, systolic /diastolic pressure, pulse, respiration, and body temperature (p>0.05). Conclusion: It is recommended to make a periodical assessment of the effects of hospital noise on patients and workers within the framework of the Quality Health Service Standards.
•Almost all emergency nurses performed the handover with oral reports.•Emergency nurses should be educated about the written handover.•The participation of all emergency nurses in handover promoted ...handover efficiency.•Using standardized forms would promote the patient safety in emergency rooms.
The aim of the study was to determine the patient handover efficacy level of emergency room nurses and the influencing factors.
This descriptive, cross-sectional study was completed with (n = 120) emergency room nurses of two different state hospitals from April 26 to May 26, 2021. The “Nurses descriptive information form” and “Handover Evaluation Scale” were used as data collection forms.
The mean age of the nurses was 29.53(6.327 years, 70.8% of them were female, and 76.7% of them had a bachelor’s degree. The mean number of handovers was 3.25 (SD = 3.17) for one nurse in a shift, and the mean handover duration for a patient was 10.16 (SD = 9.23) minutes. More than half of the nurses (61.7%) carried out oral handover at the bedside. The mean score of the handover evaluation scale was 53.31 (SD = 9.55). The mean score of the nurses who performed the handover with all the nurses on the shift (spelling and relieving) together was 56.47 (SD = 9.21) and higher than that of the nurses who performed the handover in small groups 49.84 (SD = 9.70), (p = 0.012).
The results of this study may contribute to promoting patient safety and improving patient handover processes in emergency rooms. It is recommended that standardized and comprehensive written handover forms be used, that all emergency room nurses should attend the handover process, and that further observational and interventional studies should be conducted.
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