Turkish standardization of early childhood creativity scale

The aim of this study was to obtain a culturally adapted Turkish version of the Early Childhood Creativity Scale (ECCS), to test its validity and realibility and to establish the norms for Turkish culture. The study adopted survey design. Research sample included randomly selected 60-83 month old children from 12 different provinces that were determined based on NUTS 1 classification (Antalya, Balıkesir, Bursa, Erzurum, İstanbul, İzmir, Kastamonu, Kayseri, Konya, Malatya, Trabzon and Şanlıurfa). The sample size was calculated using the sampling formula based on the population of the study universe and 1750 children were sampled. Personal information form was used to obtain demographic information about children, and their level of creativity was measured with ECCS, which will be standardized in Turkey. SPSS 20 and LISREL (ver.8.80) were used for the analysis of the data. The analyses verified that ECCS is a valid and reliable tool, with established norms, to use with Turkish children.The aim of this study was to obtain a culturally adapted Turkish version of the Early Childhood Creativity Scale (ECCS), to test its validity and realibility and to establish the norms for Turkish culture. The study adopted survey design. Research sample included randomly selected 60-83 month old children from 12 different provinces that were determined based on NUTS 1 classification (Antalya, Balıkesir, Bursa, Erzurum, İstanbul, İzmir, Kastamonu, Kayseri, Konya, Malatya, Trabzon and Şanlıurfa). The sample size was calculated using the sampling formula based on the population of the study universe and 1750 children were sampled. Personal information form was used to obtain demographic information about children, and their level of creativity was measured with ECCS, which will be standardized in Turkey. SPSS 20 and LISREL (ver.8.80) were used for the analysis of the data. The analyses verified that ECCS is a valid and reliable tool, with established norms, to use with Turkish children

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

INVESTIGATIONS ON THE INFORMATION LEVEL OF EMPLOYEES IN THE READY MEALS PRODCUTION AND MASS CONSUMPTION SECTORS OPERATING IN TEKIRDAĞ AND HAND HYGIENE ANALYSIS IN EMPLOYEES

Toplu yeme ve içme hizmetlerinin verildiği işletmelerde hijyen kurallarına uymak halk sağlığı açısından oldukça önemlidir. Özellikle Türkiye’de hijyen konusunda yeteri hassasiyet ve önemin gösterilmediği bilinmektedir. Bu durum hijyen konusunda ciddi soru işaretlerinin oluşmasına sebebiyet vermektedir. Yiyecek-içecek kurumlarının birçok hizmetinden faydalanmak için gelen misafirlerin sağlıklarının korunabilmesi ve kurumların pazardaki paylarını büyüterek daha çok kazanç sağlayabilmesi açısından da önemlidir. Bu çalışmada; Tekirdağ ilinde faaliyet gösteren hazır yemek üretim ve toplu tüketim sektöründe çalışanların bilgi düzeylerinin ölçülmesi ve çalışanların hijyen davranışlarının incelenmesi amaçlanmıştır. Çalışmanın sonuçlarına göre; çalışanların hijyen bilgi düzeylerinin orta olduğu saptanılmış ve eğitim ile hijyen bilgi düzeylerinin de farklılaştığı tespit edilmiştir. Ayrıca el hijyeni analiz sonuçları ile hijyen bilgi düzeylerinin birbirine yakın olduğu görülmüştür.It is very important in terms of public health to comply with the rules of hygiene in the establishments where bulk and drinking services are provided. Especially in Turkey is well enough known about hygiene and the importance of sensitivity shown. This situation leads to serious question marks about hygiene. It is also important to protect the health of the guests who come to benefit from the many services of the food and beverage institutions and to increase the share of the institutions in the market and provide more profit. In this study; The aim of this study is to measure the knowledge level of the employees in the ready meals and mass consumption sector in Tekirdağ and to examine the hygiene hygiene behaviors of the employees. According to the results of the study; It was determined that the employees' hygiene knowledge levels were moderate and that the levels of education and hygiene were also differentiated. In addition, hand hygiene analysis results and hygiene knowledge levels were found to be close to each othe

Deferasirox in children with transfusion-dependent thalassemia or sickle cell anemia: A large cohort real-life experience from Turkey (REACH-THEM)

Objectives To evaluate the long-term efficacy and safety of deferasirox therapy in a large observational cohort of children with transfusion-dependent thalassemia (TDT) and sickle cell anemia (SCA) in Turkey. Methods This was a multicenter, prospective cohort study including TDT and SCA patients aged 2-18 years with iron overload (>= 100 mL/kg of pRBC or a serum ferritin [SF] level >1000 mu g/L) receiving deferasirox. Patients were followed for up to 3 years according to standard practice. Results A total of 439 patients were evaluated (415 [94.5%] TDT, 143 [32.6%] between 2 and 6 years). Serum ferritin levels consistently and significantly decreased across 3 years of deferasirox therapy from a median of 1775.5 to 1250.5 mu g/L (P = 30 mg/kg/d (n = 120, -579.6 median reduction, P = 30 mg/kg/d) may be required to achieve iron balance

Clinical outcomes and independent risk factors for 90-day mortality in critically ill patients with respiratory failure infected with sars-cov-2: A multicenter study in turkish intensive care units

Background: There are limited data on the long-term outcomes of COVID-19 from different parts of the world. Aims: To determine risk factors of 90-day mortality in critically ill patients in Turkish intensive care units (ICUs), with respiratory failure. Study design: Retrospective, observational cohort. Methods: Patients with laboratory-confirmed COVID-19 and who had been followed up in the ICUs with respiratory failure for more than 24 hours were included in the study. Their demographics, clinical characteristics, laboratory variables, treatment protocols, and survival data were recorded. Results: A total of 421 patients were included. The median age was 67 (IQR: 57-76) years, and 251 patients (59.6%) were men. The 90-day mortality rate was 55.1%. The factors independently associated with 90-day mortality were invasive mechanical ventilation (IMV) (HR 4.09 [95% CI: [2.20-7.63], P 2 mmol/L (2.78 [1.93-4.01], P < .001), age ≥60 years (2.45 [1.48-4.06)], P < .001), cardiac arrhythmia during ICU stay (2.01 [1.27-3.20], P = .003), vasopressor treatment (1.94 [1.32-2.84], P = .001), positive fluid balance of ≥600 mL/day (1.68 [1.21-2.34], P = .002), PaO2 /FiO2 ratio of ≤150 mmHg (1.66 [1.18-2.32], P = .003), and ECOG score ≥1 (1.42 [1.00-2.02], P = .050). Conclusion: Long-term mortality was high in critically ill patients with COVID-19 hospitalized in intensive care units in Turkey. Invasive mechanical ventilation, lactate level, age, cardiac arrhythmia, vasopressor therapy, positive fluid balance, severe hypoxemia and ECOG score were the independent risk factors for 90-day mortality. Copyright@Author(s)