Comparison of traditional and online education in airway management

Background: Endotracheal intubation is commonly used to maintain the airway during airway management, but it requires skill and experience, so standard endotracheal intubation performed by beginner managers carries a high risk of failure. This study was conducted based on the hypothesis that there are differences between the traditional and online education models in terms of learning and skill development in situations requiring basic skills, and it aimed to compare the traditional and online education models to evaluate endotracheal intubation learning and skills. Methods: This single-centre, prospective study aimed to evaluate the endotracheal intubation performance of volunteers. The research involved examining the endotracheal intubation experience of fourth-year medical school students who completed their education either traditionally or online at the Recep Tayyip Erdogan university simulation-based learning centre (RSIM). Approval was obtained before commencement from the local ethical committee (decision no. 2023/03, E-40465587-050.01.04-572). Results: Mean time for successful intubation in the traditional and online education models evaluated was statistically significant at the non-difficult (p=0.005), moderately difficult (p=0.007) and difficult airway (p=0.014) levels. Conclusions: Traditional and online education models affect endotracheal intubation ability. In endotracheal intubation with either a direct or a video laryngoscope, the traditional education model offered a more successful experience than the online education model. In addition, skills with the video laryngoscope were stronger in novice users than with the direct laryngoscope

Kronik obstrüktif akciğer hastalığında nötrofil-lenfosit oranının öngörücü rolü]

Objective: Recently neutrophil-to-lymphocyte ratio (NLR) -the level of neutrophil reflecting the severity of inflammation and lymphocyte occurring after physiological stress has been gaining popularity, which was, along with other inflammatory markers, commonly accepted as an accurate marker of the inflammatory status. In this multi-centered study, an early, rapid, and low-cost diagnosis method was investigated. To this end, the correlation between chronic obstructive pulmonary disease and inflammation was planned to be utilized and whether neutrophil-to-lymphocyte ratio can be used as a valid tool in the diagnosis of acute exacerbations of chronic obstructive pulmonary disease was investigated. Method: We retrospectively enrolled the 467 patients. Control group included sex and age-matched healthy people. C-Reactive protein, forced expiratory volume-1, forced vital capacity, complete blood count and clinical data A receiver-operating characteristic curve analysis was performed to determine the best cut-off value of N/L ratio and C-Reaktif protein to predict the exacerbation. Two-sided p values <0.05 were considered statistically significant. Results: By spearman analysis, there was a strong correlation between. C-Reactive protein and N/L ratio in both stable group (r=0.436, p<0.001) and exacerbation group (r=0.534, p=0.001). Conclusion: Neutrophil/lymphocyte ratio may be a useful predictor of inflammation in chronic obstructive pulmonary disease and acute exacarbation of chronic obstructive pulmonary disease patients

Effect of CPAP on New Endothelial Dysfunction Marker, Endocan, in People With Obstructive Sleep Apnea

Obstructive sleep apnea (OSA) is associated with increased cardiovascular (CV) morbidity and mortality. Endocan is a surrogate endothelial dysfunction marker that may be associated with CV risk factors. In this study, we tested whether serum endocan is a biomarker for OSA. Serum endocan levels were measured at baseline in 40 patients with OSA and 40 healthy controls and after 3 months of continuous positive airway pressure (CPAP) treatment in the patients with OSA. All participants were evaluated by full polysomnography. Flow-mediated dilatation (FMD) and carotid intima media thickness (cIMT) were measured in all participants. Endocan levels were significantly higher in patients with OSA than in healthy controls. After adjusting confounders, endocan was a good predictor of OSA. Endocan levels correlated with OSA severity (measured by the apnea-hypopnea index [AHI]). After 3 months of CPAP treatment, endocan levels significantly decreased. Endocan levels were significantly and independently correlated with cIMT and FMD after multiple adjustments. The cIMT and FMD also had significant and independent correlation with AHI. Endocan might be a useful marker for the predisposition of patients with OSA to premature vascular disease.NHLBI NIH HHSUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Heart Lung & Blood Institute (NHLBI) [R01 HL085188, K24 HL093218, T32 HL134632, K24 HL132105] Funding Source: Medline; NATIONAL HEART, LUNG, AND BLOOD INSTITUTEUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Heart Lung & Blood Institute (NHLBI) [R01HL085188, K24HL093218, T32HL134632, K24HL132105] Funding Source: NIH RePORTE

An Acute Renal Failure Case Due To Overdose Use Of Perindopril/Amlodipin

Fixed -dose combination therapies are important alternative of hypertension treatment. The management of suicidal intoxication with these conbination preparations which might have different and sometimes interactive mechanisms is still unclear. In this case-report a 51 -yearold male patient who had taken 26 pills of perindopril 5 mg and amlodipine 10 mg combination drug. He admitted to the emergency department with the complications of dizziness and fatigue. He was followed in intensive care unit after his first medical care unitafter his first medical emergency intervensions. After development of hypotensionand acute renal failure, he improved with fluid resussitation and symtomatic treatment and he was discharged

Investigation of the Teachers’ Restraint and Satisfaction Perceptions in their Free Times

In this study it was intended to investigate the Boredom and satisfaction perceptions of the teachers who participate / do not participate in recreational activities during their leisure time in Konya. The screening model was used in the study. 330 questionnaire forms were distributed to the participants. As the result of the review, 300 of the questionnaires were found to be worth for analyzing after excluding those which were invalid due to the following reasons marking the same options or leaving the questionnaire incomplete. The information of 300 participants (46,7% male n=140, 53,3% female n=160) were taken into consideration. The Leisure Boredom Scale whose Turkish adaptation was made by Kara, Gürbüz and Öncü was used as data collection tool in the research. The boredom and satisfaction perceptions of the participants in their leisure time were evaluated in terms of the age, gender, income level and the frequency of participation. In the study significant difference was observed at the significance level in the leisure boredom perception according to variables age, gender and the frequency of participation. In terms of these variables significant difference was not observed in the satisfaction perceptions. On the contrary, in terms of the income level variable while significant difference wasn’t observed in the leisure boredom perception, in the satisfaction perception significant difference was observed. At the participation point of the educational administrators and teachers in leisure time activities contribution can be ensured to the satisfaction perception against the boredom with the necessary planning and implementing possibilities

Enhancing energy efficiency and cost-effectiveness while reducing CO2 emissions in a hospital building

Global population growth drives fossil fuel usage, surpassing natural greenhouse gas emissions and causing climate change, higher temperatures, floods, and agricultural erosion. The study underscores the significance of appropriate material selection and meticulous building design to establish a healthy living environment and mitigate energy consumption. The research is dedicated to the reduction of CO2 emissions. Hospitals, due to their constant energy requirements, require optimal temperature and comfort management for patients, necessitating careful design to avoid disruptions and power outages. The principal objective of this research is to enhance energy efficiency in the design phase of hospital buildings in Turkey and to develop an energy-efficient hospital model. This objective is achieved by evaluating different insulation materials, building orientations, lighting efficiency, and window-to-wall ratios. The methodology involves creating a reference structure for energy load calculations using Revit software and utilizing the Green Building Studio (GBS) program to conduct energy analyses in 7 different cities across Turkey. The study found that the utilization of building parameters with renewable energy sources reduced energy consumption by 57.5%, total costs by 16.24%, and CO2 emissions by 26.3%. The fundamental contribution of this study is to demonstrate the feasibility of reducing energy consumption, costs, and CO2 emissions through design adjustments. The novelty of this research lies in its comprehensive approach to optimizing energy efficiency and CO2 emissions in hospital buildings in Turkey. These findings underline the significance of energy-efficient design, particularly considering the impact of increased energy usage and CO2 emissions during the COVID-19 pandemic

Evaluation of endocan and endoglin levels in chronic kidney disease due to diabetes mellitus

Introduction: Endocan and endoglin have been shown to play a role in angiogenesis. Aberrant excessive angiogenesis is a main factor in the development of diabetic nephropathy. In this study we evaluated endocan and endoglin levels in diabetes patients with and without albuminuria and compared them with healthy subjects. Therefore we aimed at gaining a better understanding of the role of angiogenesis in diabetic nephropathy and to assess the predictive role of endocan and endoglin as markers of diabetic nephropathy progression. Material and methods: Ninety-six type 2 diabetes patients were classified according to their 24-hour urinary albumin excretion rate. Forty type 2 diabetes patients with normoalbuminuria (urinary albumin excretion = 30 mg/day) and 35 healthy non-diabetic control subjects were included. Their anthropometric features, arterial blood pressures, fasting glucose, glycated hemoglobin, urea, creatinine, lipids, endocan and endoglin levels were measured and compared to each other. Results: Endocan and endoglin levels of diabetics patients were higher than those of the controls. In comparison of endocan and endoglin levels of diabetic nephropathy patients with controls, p-values were < 0.001 and 0.002 respectively. In comparison of normoalbuminuric diabetic patients with controls, p-values were 0.001 and 0.017 respectively. Endocan levels of diabetic nephropathy cases were higher than those of normoalbuminuric patients (p = 0.011) but there was no statistically significant difference in endoglin levels between them (p = 0.822). Conclusions: Endocan might be a more reliable marker of diabetic nephropathy development than endoglin