Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

An investigation of the relationship between secondary school students' achievement goal orientations and their attitudes toward English

YÖK Tez ID: 532419Bu araştırmada, ortaokul öğrencilerinin başarı yönelimleri ile İngilizceye yönelik tutumları arasındaki ilişkinin incelenmesi amaçlanmıştır. Araştırma 2016-2017 eğitim öğretim yılında, Kırıkkale il merkezindeki farklı sosyo-ekonomik statülerde olan 7 farklı ortaokuldan rastgele seçilmiş 560 tane ortaokul öğrencisinin katılımıyla yürütülmüştür. Veriler "İngilizceye Yönelik Tutum Ölçeği" ve "Başarı Yönelimleri Ölçeği" ile elde edilmiştir. Elde edilen veriler SPSS 22.0 programında analiz edilmiş, veri analizinde aritmetik ortalama, standart sapma, t testi, tek yönlü ANOVA, Tukey testi, regresyon ve korelasyon analizleri kullanılmıştır. Araştırma bulgularında, hem cinsiyet hem de sınıf düzeyleri faktörü ile İngilizceye yönelik tutum ölçeğinin alt boyutları arasında anlamlı ilişkiler bulunmuştur. Buna göre, kız öğrencilerin, erkek öğrencilere göre ve 5-6.sınıf öğrencilerinin 7-8.sınıf öğrencilerine göre İngilizceye yönelik tutumlarının daha olumlu olduğu sonucuna varılmıştır. Başarı yönelimleri ölçeğinin öğrenme kaçınma, öğrenme yaklaşma ve performans yaklaşma yönelimi alt boyutları ile cinsiyet faktörü arasında da anlamlı ilişkiler bulunmuştur. Bu ilişkinin kız öğrenciler lehine olduğu görülmüştür. Başarı yönelimleri ölçeğinin performans kaçınma yönelimi alt boyutu ile cinsiyet arasında anlamlı bir ilişki saptanmamıştır. Başarı yönelimleri ölçeğinin alt boyutları ile sınıf düzeyi arasındaki ilişki incelendiğinde ise, sınıf düzeyleri ile sadece öğrenme yaklaşma yönelimi alt boyutu arasında anlamlı bir ilişki olduğu görülmüştür. Buna göre, 5-6.sınıf öğrencilerinin 7-8.sınıf öğrencilerine göre daha fazla öğrenme yaklaşma yöneliminde olduğu sonucuna varılmıştır. Anahtar Kelimeler: Yabancı Dil Eğitimi, İngilizceye Yönelik Tutum, Başarı Yönelimleri.In this research, it was aimed to investigate the relationship between secondary school students` achievement goal orientations and their attitudes toward English. The research was performed with the participation of 560 secondary school students of seven secondary school chosen randomly from different socio-economic areas in the centre of Kırıkkale in the second term of 2016-2017 academic year. The data was acquired with the "Attitudes Scale Towards English" and the "2x2 Achievement Goal Orientations Scale". The data were analized by using SPSS and in the analysis research data arithmetic mean, Standard deviation, t-test, one way ANOVA, Tukey test, regression and correlation were used. Findings of this research indicates that the relationship between attitudes toward English and the gender and the class level is meaningful. When compared with the boys, girls have more positive attitudes. Also when compared with 7th and 8th grade students, 5th and 6th grade students have more positive attitudes toward English. Moreover, the relationship between mastery-approach, mastery-avoidance and performance-approach goal orientations and the gender is meaningful. This meaningfulness is in favor of girls. Findings show that there is no relationship between performance-avoidance goal orientations and the gender. The results of analysis of the relationship between achievement goal orientations and the class levels shows that there is meaningfulness just between mastery-approach goal orientations and the class levels. When compared with 7th and 8th grade students, 5th and 6th grade students have more mastery-approach goal orientations. Key Words: Foreign Language Education, Attitudes Toward English, Achievement Goal Orientations

Ortaokul öğrencilerinin başarı yönelimleri ile ingilizceye yönelik tutumları arasındaki ilişkinin incelenmesi

Tez (Yüksek Lisans) -- Kırıkkale Üniversitesi119983

How environmental innovation influences firm performance: A meta-analytic review

Coupled with the increasing concern toward sustainability and sustainable development issues, environmental innovation practices have been of burgeoning interest among both scholars and practitioners. Building on this, the main purpose of this study is to quantitatively aggregate the extant empirical research on eco-innovation and firm performance and to assess the role of moderating factors in this theoretical relationship by pursuing a meta-analytic approach. To serve this objective, 196 effects based upon 70 studies including more than 25,000 firms (N = 25,412) were meta-analytically examined. Quantitative evidence drawn from the meta-analysis indicates that organizational eco-innovation exerts the strongest influence on firm performance. Moreover, the meta-analytic findings suggest that significant variations in the correlation between eco-innovation and firm performance exist across different performance types, and the magnitude of the eco-innovation-firm performance association is stronger in developing compared with developed countries. This meta-analytic review is expected to considerably contribute to the pertinent literature by means of improving the understanding of the relevance of eco-innovation typology to firm performance

Incidental Aluminum Phosphide Poisoning: Case Report and Current Management

Aluminum phosphide (AlP) is a commonly used cheap rodenticide, insecticide, and fumigant. Most intoxications in the literature are suicidal ingestions, however, AlP may cause incidental inhalational toxicities as well. After ingestion or inhalation, nausea, vomiting, dyspnea and abdominal pain develops within minutes. Hallmark of toxicity is refractory hypotension, cardiac failure and severe metabolic acidosis developing within a matter of hours are the major cause of mortality. In Turkey, AlP tablets are widely accessible and are sold without any restrictions. However, there are few local case reports in the literature. Additionally, incidental AlP intoxications are rarely reported