The Mediating Roles of Job Security Satisfaction and Job Security Index in The Interaction Between Organizational Silence and Intentions to Quit: A Research on A Private Hospital Staff

The purpose of this research is to determine the mediating effect of job security satisfaction and job security index in interaction between organizational silence and intentions to quit of individuals. Research conducted on the employees of health services in a private hospital chain in Istanbul. In research organizational silence scale was developed by Dyne etc. (2003), for measuring the intentions to quit scale was developed by Wayne etc. (1997) and job security satisfaction and job security index scale was developed by Probst (1998) were used. According to the findings, there is a partial mediating effect of job security satisfaction in the interaction between organizational silence and intentions to quit. There are statistically meaningful differences of organizational silence, intentions to quit and job security satisfaction among demographic factors

USE OF PERSONAL PROTECTIVE EQUIPMENT AND FACTORS ASSOCIATED WITH INJURIES AMONG VOCATIONAL AND TECHNICAL HIGH SCHOOL STUDENTS

WOS: 000416078300004Objective: In this study, the aim was to investigate the use of personal protective equipment (PPE) and the factors associated with injuries among vocational and industrial high schools in Adana and Mersin. Material and Method: This cross-sectional study included 1742 students who attended high schools in the Adana and Mersin provinces between April and May 2013. The questionnaire was filled out by the students. The study data were evaluated by descriptive statistics, the chi-square test, Student's t-test, the Mann-Whitney U test and binary logistic regression. Results: The study included 1742 students. Among the students, 1530 (87.8%) were male. While 1510 (86.7%) students used at least one PPE, 232 (13.3%) used none at all. In the binary logistic regression model, 10th graders (OR 3.80), 11th graders (OR 3.21), monthly income of 434 USD or less (OR 2.69), training for the use of tools/devices (OR 1.96) and the number of risks defined specifically for the department (OR 1.11) were associated with the student's PPE use. Among the participating students, 430 (24.7%) were injured within the past year. In the binary logistic regression model, 10th graders (OR 1.85), 11th graders (OR 2.26), the weekly practical training hours (OR 0.96) and household population (OR 1.10) were associated with the students' injuries. Conclusion: In vocational and technical high schools, training on the use of devices and tools, defining the risks and structured trainings on the use of PPE must be considered to protect the students

Factors affecting operative morbidity and long-term outcomes in patients undergoing surgery for presacral tumours: a multicentric cohort study from the Turkish Collaborative Group for Quality Improvement in Colorectal and Pelvic Surgery

Aim: Data regarding the operative management of presacral tumours present various dilemmas due to their rarity and heterogeneous nature. The aim of this study was to evaluate the management strategy, factors associated with operative morbidity and long-term postoperative outcomes in a large group of patients undergoing surgery for presacral tumours. Method: This study was designed as a multicentre retrospective cohort study. Records of patients who underwent surgery for presacral tumours at 10 tertiary colorectal centres between 1996 and 2017 were evaluated. Results: One hundred and twenty seven patients (44 men) with a mean age of 46 years and body mass index of 27 kg/m2 were included. Fifty eight per cent of the patients had low sacral lesions (below S3). The operative approaches were transabdominal (17%), transsacral (65%) and abdominosacral (17%). The postoperative morbidity was 19%. Thirty per cent of the patients had a malignant tumour. Longer duration of symptoms (p = 0.001), higher American Society of Anesthesiologists score (p = 0.01), abdominosacral operations (p = 0.0001) and presacral tumours located above S3 (p = 0.004) were associated with an increased risk of postoperative morbidity. Overall long-term postoperative recurrence and mortality were 6% and 5%, respectively, within a 3-year mean follow-up period in patients with presacral malignant tumours. Conclusion: Reduced physical condition, omission of symptoms prior to surgery, combined resections and high sacral tumours are the risk factors associated with postoperative complications in patients undergoing surgery for presacral tumours. Meticulous planning of the operation and intensified perioperative care may improve the outcomes in high-risk patients