Neonatology Nurses’ Problems and Quality of Life

Aim: Working in a shift system can disturb quality of life due to chronic fatigue, sleepiness and somatic symptoms. This study aimed to determine the working conditions and problems encountered by nurses working in the neonatal intensive care unit (NICU) and the effect on their quality of life.Method: Nurses who were a member of the Neonatology Nursing Association of Turkey were included in the study. The study sample consisted of 256 nurses. Data were collected with the descriptive data form and SF-36 quality of life scale. The data were evaluated by frequency, percentage, and Spearman's test.Results: Mean duration of work in the NICU was 4.8±3.97 years. Nurses mostly worked day and night shifts (60.9%); the mean duration of work was 14.4±3.01 hours per shift. A nurse cared for 5.3±1.27 neonates on average. 9.8% of the nurses were satisfied with the working environment. Common causes of dissatisfaction were low wages, high newborn ratio per nurse and the excessive working hours. 97.3% of nurses stated that working in the unit has an effect on their health. For SF-36 subgroups, the physical function score was high (62.5 ± 23.7), while the scores of the other subgroups were under 50 points. The lowest score was role-physical (28.5±33.2). The nurses' quality of life scores were low in general.Conclusion: This research was made in order to determine the working conditions of neonatology nurses and the effects of these on their health and life qualit

An urban design framework for sustainability of historical environment: A case of Safranbolu, Turkey

Historical environments as open space museums which exhibit their own selves are historical heritages which demonstrate and reflect cultural identity. Turkey has a lot of settlements which are full of cultural and historical traces, but some abandoned and demolished parts of the historical settlements have suffered from a separation between the historical city centers. In order to integrate these areas to the other parts of the whole, revitalization, regeneration and re-functioning are necessary. Nonetheless, the key question is which target leading regeneration and design process will gain priority: heritage and culturally led regeneration or design led regeneration. Urban design process should contain these issues. In order for regeneration and sustainability of the heritage area and its identity, it is one of the basic principles in planning or design process that current tendencies of the community and public needs should be determined. In this study, a framework on urban design process considering the issues mentioned above was conducted in Safranbolu-Turkey, which was added to the list of world heritage. In the framework context, considering regeneration, sustainability, culture and community, some urban design scenarios have been built and evaluated. Furthermore, design guides as an application tool for good practice have been suggested

A case-control study on the temperament and Psychological mood of patients with chronic Hepatitis B

WOS: 000419796200001Objective: To evaluate the personality and temperament traits in patients with chronic hepatitis B in comparison to healthy subjects and to determine whether there is a relation between personality trait and level of anxiety or depression. Materials/Subjects and Method: This was a case-control study in which 67 patients who had been under follow-up with diagnosis of chronic hepatitis B and 103 aged-matched healthy subjects were included. Study participants were asked to complete three self-report questionnaires-Temperament and Character Inventory (TCI) to define personality traits, Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) to evaluate presence and severity of depression and anxiety. Results: Total and sub-scale scores of five out of seven dimensions of TCI-reward dependence, persistence, self-directedness, cooperativeness, and self-transcencewere significantly higher in Group 1 than Group 2. Total BDI and BAI scores were significantly higher in Group 1 than Group 2. Significantly more patients had a BDI score of 17 or over in Group 1 than Group 2. There was no significant correlation between total scores of TCI dimensions and total BAI or BDI scores except weak correlations between harm avoidance or self-directedness and total BAI or BDI scores. Conclusion: In terms of personality trait, patients with chronic hepatitis B exhibit higher reward dependence, persistence, self-directedness, cooperativeness, and self-transcendence from healthy population. The personality traits of patients should be considered during the management of hepatitis B in order to optimize treatment outcome and to prevent development of new mental health problems during the course of the disease

Multisystemic Long-Term Sequelae of Covid-19: A Review Based on the Current Literature Over a Year of Pandemic Experience

On January 7, 2020, it was announced that the Chinese Government isolated a new variant of Coronavirus (SARS CoV-2). Officials reported that populations were not equally affected in terms of the number of cases, severe illness, and death. As of 28 December 2020, 81,000,000 cases have been confirmed globally, and approximately 1,770,000 total deaths have been reported for COVID-19. Besides difficulties of COVID-19 management in the acute stage, long-term consequences of the infection could cause widespread public health problems across the World. This review article aims to examine current literature regarding COVID-19, identify post-illness sequelae, detect patients at risk for sequelae, and provide guidance to management strategies. In the report, long-term pulmonary sequels and systemic problems including cardiovascular, neurological, psychiatric, endocrinologic, nephrological, hematologic, gastrointestinal, dermatologic, etc. of COVID-19 are discussed in accordance with recent scientific publications

Cranial imaging findings in neurobrucellosis: results of Istanbul-3 study

Objective Neuroimaging abnormalities in central nervous system (CNS) brucellosis are not well documented. The purpose of this study was to evaluate the prevalence of imaging abnormalities in neurobrucellosis and to identify factors associated with leptomeningeal and basal enhancement, which frequently results in unfavorable outcomes