Communication with acute intermittent porphyria patients who have tracheostomy

Objective: Introducing acute intermittent porphyria disease and investigating the communication techniques for acute intermittent porphyria patients who have tracheostomyCase Report: 26 years old woman patient consulted to the hospital when she was 13 years old with nausea and vomiting complaints. In 2008, because of respiratory arrest, tracheostomy was implemented to the patient who had acute intermittent porphyria diagnose. The patient had two bullous lesions on the left hand and hyperpigmentation’s on the face and legs. As a result of metabolic acidosis (because of urine disease), the patient was taken to dialysis. After six months of dialysis, hypernatremia was found in the laboratory tests (Na: 85).Period of acute crisis developed In the patient with hypertension, atrophy in the muscles, fainting, abdominal pain, nausea, vomiting and diarrhea. Because of serious diarrhea, TPN was started for the patient who was fed with gavage before. Laboratory test results are Na:126, K:8.1, BUN:23.83, Urine:51, Creatinine:0.94, Leukocyte:20.4, erytrocyte:2.22, Hb:6.87g/dl, Hct: %20.9, Plt:106. Result: It is really difficult to communicate with these patients with lifespan limited because of an extremely severe clinical condition and tracheostomy

Quality of College Life (QCL) of Students in Turkey: Students' Life Satisfaction and Identification

WOS: 000330029700014Understanding the complexities of a students' quality of life has become essential in order for universities to plan their spending most efficiently. This study tests a model which was used to judge the satisfaction of college life and evaluates the overall impact of quality of college life (social, academic, and service satisfaction), life satisfaction, and identification. Secondly, the study assesses the impact of a university's academic program, social life, facilities, and services on the students' college life quality in this sample in relation to similar studies from Turkey and other countries. The survey included 1,260 students attending a public university in northwestern Turkey. Measurement tools included the quality of college life scale (QCL), Satisfaction with college life scale, identification scale satisfaction with life scale and personal information form. The results show social satisfaction has the strongest positive impact on QCL. This study found that life satisfaction and university identification had a positive impact on a university student's satisfaction with college life. According to survey results it is also suggested that University administrators can primarily focus on improving the social satisfaction of the students then improve facilities and services, in order to raise academic satisfaction levels

Bullying and victimization among Turkish children and adolescents: examining prevalence and associated health symptoms

WOS: 000309131500017PubMed: 22735980Over the past decade, concerns about bullying and its effects on school health have grown. However, few studies in Turkey have examined the prevalence of bullying in childhood and adolescence and its association with health problems. The current study aimed to examine the prevalence and manifestation of bullying and victimization among male and female students aged 11-15 years. A second goal was to examine the physical and psychological symptoms associated with being a bully, victim and both a bully and a victim ('bully-victim'). Participants were 1,315 students from grades 5, 7, and 9, selected from three schools in Western Turkey. Twenty percent of the students were found to be involved in the cycle of bullying (5 % as a bully, 8 % as a victim, and 7 % as bully-victims). Bullies (although not victims) were found to show decreased levels of school satisfaction and school attendance. Being a victim or a bully-victim was associated with a significantly increased risk of experiencing a wide range of physical and psychological health symptoms (victims OR, 1.67-3.38; p < 0.01; bully-victims OR, 2.13-3.15; p < 0.01). Being a bully, in contrast, was associated with high levels of irritability (OR, 2.82; p < 0.01), but no other health concerns. Children that were bullies and victims were almost as vulnerable to health symptoms as children that were purely victims. Conclusion: These findings contribute to a better understanding of bullying in Turkish schools, emphasizing the negative effects of bullying involvement on health and well-being

The Determination of Agitation Behaviors among the Elderly People Receiving Long-Term Institutional Care and the Influencing Factors

WOS: 000469810700008Amaç: Ajitasyon kurumsal bakım alan yaşlılarda yaygındır. Özellikle demanslı hastalar için önemli bir problemdir. Bu kapsamda çalışmanın amacı bir ilde uzun süreli kurumsal bakım alan yaşlıların ajitasyon davranışlarının ve etkileyen faktörlerle ilişkisinin belirlenmesidir. Yöntem: Araştırma tanımlayıcı ve analitik türdedir. Araştırmanın evrenini, İl Aile ve Sosyal Politikalar Müdürlüğüne bağlı üç kurumsal bakım merkezinde yaşayan yaşlı bireyler oluşturmuştur. Araştırmada örneklem yöntemine gidilmeyip, örneklem grubuna 60 yaş ve üzeri, kendisi ve yakını tarafından çalışmaya katılmasına olur verilen 178 yaşlı birey alınmıştır. Araştırmanın verileri Eylül-Kasım 2018 tarihleri arasında toplanmıştır. Verilerin toplanmasında sosyo-demografik soru formu, Cohen-Mansfield Ajitasyon Envanteri (CMAE), Mini-Cog Kısa Bilişsel Değerlendirme Formu, Barthel Günlük Yaşam Aktiviteleri İndeksi (BGYA), Lawton&Brody Enstrümantal Günlük Yaşam Aktiviteleri Ölçeği (EGYA) kullanılmıştır. Bulgular: Çalışmaya katılan yaşlıların yaş ortalaması 75.58±8.77 olup %56.7’si erkektir. Bulundukları kurumda bakım alma süresi 23.48±24.46 aydır. Yaşlıların %50.6’sının psikiyatrik tanısı bulunmaktadır. Demanslı yaşlıların CMAE puan ortalaması 46.26±15.10 olup demansı olmayanlara göre anlamlı düzeyde yüksektir (Z=-2.132, p=0.033). Mini-Cog puan değerlendirmesine göre bilişsel bozulma olasılığı yüksek olarak belirlenen yaşlıların CMAE puan ortalaması 46.04±15.77 olup düşük bilişsel bozulma olasılığı olanlara göre anlamlı düzeyde yüksektir (Z=-4.137, p=0.000). Sonuç: Çalışmanın sonuçları demanslı hastalarda ajitasyonun yüksek olduğunu, demansla birlikte seyreden bilişsel bozulmanın ajitasyon üzerinde önemli bir etki gösterdiğini ortaya koymuştur.Aim: Agitation is common among elderly people staying at nursing homes. It is a significant problem particularly for patients with dementia. This study aims to determine the agitation behaviors of elderly people receiving long-term institutional care in a city and influencing factors. Method: The population of this descriptive and analytical study consisted of elderly individuals in three institutional care centers. 178 elderly individuals aged 60 and above were taken into the sample group. Approval was taken from them and their relatives. The study data were collected between September-November 2018 using the socio-demographic question form, the Cohen-Mansfield Agitation Inventory (CMAI), the Mini-Cog Brief Cognitive Assessment Form, the Barthel Index for Activities of Daily Living (ADL) and the Lawton&Brody Instrumental Activities of Daily Living Scale (IADL). Results: The mean age of the participants was 75.58 +/- 8.77 and 56.7% were males. The duration of stay at the institution was 23.48 +/- 24.46 months. Although 50.6% of the participants had psychiatric diagnoses. The mean score for the CMAI for the patients with dementia was 46.26 +/- 15.10, which was significantly higher than those without dementia (Z=-2.132, p=0.033). Conclusions: The results show agitation is high among patients with dementia and cognitive impairment affects agitation significantly

The effect of distant reiki sessions on holistic well-being

This study investigated the effect of distant Reiki sessions on the holistic well-being of people without no acute/chronic diseases. The study was conducted between February 1 and March 31, 2022. The sample consisted of 180 healthy people living in a city in Turkey. Participants attended 20-minute distant Reiki sessions (intervention) for 4 consecutive days. Pretest data were collected using a personal information form, the Holistic Well-Being Scale (HWBS), the Positive and Negative Affect Schedule (PANAS), and the Subjective Vitality Scale (SVS). Posttest data were collected 2 days (posttest I) and 1 week after the intervention (posttest II) using the HWBS, PANAS, and SVS. There was a statistically significant difference between pretest and posttest I and II HWBS subscale scores (P < .05). There was a statistically significant difference between pretest and posttest PANAS and SVS scores (P < .05). Distant Reiki sessions improved participants' holistic well-being. They also helped them develop a positive mood, experience and perceive less sadness, and develop subjective vitality and cognitive awareness