Timing of post-bath skin moisturizer application to newborn infants: A randomized controlled study

OBJECTIVE: To investigate whether the timing of postbath moisturizer application affected the skin moisture (SM) and body temperature (BT) of newborn infants. METHODS: The researchers conducted a randomized controlled study with 80 newborns who were monitored in a university hospital between March 2017 and May 2018. In both the control and experimental groups, newborns were bathed and dried. However, in the control group, moisturizer was applied immediately to the newborn's body, whereas in the experimental group, moisturizer was applied 10 minutes after the completion of the bath. Researchers evaluated the BT and SM of all infants both before and immediately after the bath and at 10, 20, 40, and 60 minutes postbath. RESULTS: The control and experimental groups were similar according to the descriptive characteristics of the infants (P > .05). In both groups, infants' SM values increased in the first 10 minutes after the bath compared with the prebath values (P < .05). However, the whole-body SM value of the experimental group was significantly higher than that of the control group 60 minutes postbath (P = .027). There was also a statistically significant change in the body temperatures of infants in both groups after bathing (P = .004). CONCLUSIONS: Waiting 10 minutes postbath before applying moisturizer positively affected newborns' SM and BT. Additional research with a broader age range and a more diverse sample is needed to further clarify the effects of postbath moisturizer application timing on newborns' SM and BT

A Rare Complication: Blue Urine Developed After Laparoscopic Chromopertubation

Methylene blue is a dye that is widely used in medicine. The underlyin reason this widespread use is that it is easily accessible, inexpensive and safe. Although rarely seen, some complications may develop during use of methylene blue. It is important that clinicians should be aware of these unwanted conditions, recognize these complications at an earlier stage, and take suitable measures

Influence of Obesity on Bone Mineral Density in Postmenopausal Asthma Patients Undergoing Treatment with Inhaled Corticosteroids

OBJECTIVES: The etiology of osteoporosis in asthma is complex as various factors contribute to its pathogenesis. The purpose of our study was to investigate the effects of obesity and inhaled steroids, as well as the severity and duration of asthma, on osteoporosis in postmenopausal asthma patients as compared to healthy controls. METHODS: A total of 46 patients with asthma and 60 healthy female controls, all postmenopausal, were enrolled in our study. Bone mineral density was assessed at the lumbar spine and hip using a Lunar DPX-L densitometer. RESULTS: Bone mineral density (BMD) scores were comparable between the asthmatic and control groups, with average scores of 0.95 ± 0.29 and 0.88 ± 0.14 g/cm², respectively. Likewise, osteoporosis was diagnosed in a similar percentage of patients in the asthmatic (39.1%) and control (43.3%) groups. Bone fracture was identified in four patients with asthma (8.6%) and in six patients from the control group (10%). We could not detect any relationship between BMD and duration of asthma, asthma severity, inhaled steroids or body mass index (BMI). There was no difference between the two groups with respect to age or years since menopause. Although asthma patients were more likely to be overweight and presented higher BMD scores on average than the control subjects, these differences were not statistically significant. CONCLUSIONS: There is a slight positive protective effect of high BMI against osteoporosis in asthma patients, but this effect is overcome by time and menopause status. Therefore, the protective effect of obesity against osteoporosis in asthma patients seems to not be significant

The effect of corporate reputation management on organizational commitment and intention to leave: The case of Cappadocia

Kurumsal itibar yönetimi, tüm paydaşların şirkete karşı olan algılarını iyi yönetmekten geçmektedir. Örgütsel bağlılık, çalışanların şirkette çalışmaya devam etmeleri için şirkete karşı olan duygu ve tutumlarından meydana gelmektedir. İşten ayrılma niyeti, çalışanın iş yerinden ayrılmak için düşüncelere girmesi ya da işten ayrılmasını açıklamaktadır. Kurumsal itibarın oluşumu ile birlikte işgörenlerin örgüte olan bağlılıkları artacaktır. Örgüte bağlılığı artan işgörenlerin, işletmeye katkıları daha fazla olacaktır ve bağlılıkları sebebiyle işten ayrılma niyetleri de azalacaktır. Bu durum, işletmelere maddi ve manevi avantajlar sağlayacaktır. Bu çalışmanın amacı, Kapadokya bölgesindeki 5 yıldızlı otellerin kurumsal itibar yönetimi ve bu yönetime bağlı olarak örgütsel bağlılık ile işten ayrılma niyeti üzerine etkisini ortaya koymaktır. Çalışma kapsamında 5 yıldızlı otel işletmelerinde çalışanlardan 304 kişi soru formu doldurarak araştırmaya katılmıştır. Araştırma bölümlerinde 5’li Likert tipi ölçeklendirmeye uygun cevaplarla hazırlanmış soru formu kullanılmıştır. Araştırmanın modeli kapsamında geliştirilen hipotezlerin elde edilen verilerle test edilmesinde korelasyon analizi ve çoklu regresyon analizi kullanılmıştır. Bu analizlerde, değişkenler arasındaki ilişkileri, değişkenler arasındaki farklılıkları ve değişkenlerin birbirleri üzerindeki etkisini belirlemeye yönelik analiz teknikleri kullanılarak araştırma sorularına cevap aranmaya çalışılmıştır. Araştırma sonucunda kurumsal itibar yönetiminin örgütsel bağlılık üzerinde pozitif etkisi, işten ayrılma niyeti üzerinde etkisinin bulunmadığı tespit edilmiştir. Örgütsel bağlılık aracı değişken olarak kullanıldığında kurumsal itibar yönetiminin örgütsel bağlılığa pozitif etkisi, örgütsel bağlılığın işten ayrılma niyeti üzerinde negatif etkisi olduğu sonucuna ulaşılmıştır.Corporate reputation management is through managing well all stakeholders' perceptions towards the company. Organizational commitment consists of employees' feelings and attitudes towards the company in order to continue in the company. The intention to leave describe the employee's decision to leave or leave their workplace. Employees’ organizational commitment will be increased with the formation of corporate reputation. Employees with increased loyalty to the organization will have greater contributions to the companies, and their intention to leave will be reduced due to their loyalty so that it will provide financial and moral advantages to companies. The main aim of this research is to demonstrate the effect of corporate reputation management on organizational commitment and intention to leave 5-star hotels in Cappadocia. Within the scope of the study, 304 people from 5-star hotel enterprises completed the survey and participated in the research. A questionnaire prepared with answers suitable for 5-point Likert-type scaling is used in the research departments. Correlation analysis and multiple regression analysis are used to test the hypotheses developed within the scope of the research model with the data obtained. As a result of the research, it was determined that the corporate reputation management has a positive effect on the organizational commitment and no effect on the intention to leave. When the organizational commitment is used as a variable, corporate reputation management has a positive effect on organizational commitment and the organizational commitment has a negative effect on the intention to leave

Beyazlatma sonrasında antioksidan uygulamasının minenin bağlanma kuvvetine etkisi

Amaç: Bu çalışmanın amacı, % 10 sodyum askorbat (SA), %6.5 üzüm çekirdeği özü (ÜÇÖ) ve % 10 alfa-tokoferol (α-TP)’ ün farklı uygulama sürelerinde, beyazlatılmış mineye, adeziv rezin simanın makaslama bağlanma kuvvetini değerlendirmektir.Gereç ve Yöntemler: 108 adet insan üst santral dişi 9 gruba ayrılmıştır (n:12). Kontrol grubu dışındaki bütün gruplara % 40’lık hidrojen peroksit (HP) kullanarak beyazlatma işlemi uygulanmıştır. Gruplar; GK: Beyazlatma uygulanmadan restorasyon yapılan (kontrol grubu), GB: Beyazlatma yapıldıktan sonra restorasyon yapılan, GT7g: Yapay tükürükte 7 gün bekledikten sonra restorasyon yapılan, GSA15: 15 dakika süreyle % 10 SA uygulandıktan sonra restorasyon yapılan, GSA60: 60 dakika süreyle % 10 SA uygulandıktan sonra restorasyon yapılan, Gα-TP15: 15 dakika süreyle % 10 α-TP uygulandıktan sonra restorasyon yapılan, Gα-TP60: 60 dakika süreyle % 10 α-TP uygulandıktan sonra restorasyon yapılan, GÜÇÖ15: 15 dakika süreyle % 6.5 ÜÇÖ uygulandıktan sonra restorasyon yapılan, GÜÇÖ60: 60 dakika süreyle %6.5 ÜÇÖ uygulandıktan sonra restorasyon yapılan. Antioksidan uygulamasından hemen sonra, indirekt restorasyonlar adeziv rezin simanla diş yüzeyine bağlanmıştır. Örnekler distile suda 24 saat 37°C’de bekletildikten sonra, makaslama bağlanma kuvveti testi yapılmıştır. Kırılma tipleri stereomikroskop altında değerlendirilmiştir. Veriler tek yönlü varyans analizi, Levene ve Tukey HSD testleri kullanılarak yapılmıştır (

Subletalni učinci 2,4-diklorofenoksi octene kiseline (2,4-D) na slatkovodnog uskoškarog raka (Astacus leptodactylus Eschscholtz, 1823)

2,4-D is a widely used phenoxy herbicide, potentially toxic to humans and biota. The objective of the present study was to reveal short term sublethal effects of 2,4-D on narrow-clawed freshwater crayfish (Astacus leptodactylus Eschscholtz, 1823), based on histology, total haemocyte counts, selected haemolymph parameters, and oxidative stress parameters. In the laboratory conditions crayfish specimens were exposed to 9 mg L-1 of 2,4-D for one week. Experiments were conducted under semi-static conditions in 20 L-capacity aquaria where 10 freshwater crayfish were stocked per aquarium. Exposure (experimental) and control groups were used and the experiments were repeated two times. No mortality and behavioural changes were recorded during the experiments. Total haemocyte counts decreased significantly, while haemolymph glucose levels increased (P<0.05), when compared to the control group. Haemolymph levels of calcium, chloride, sodium, potassium, magnesium, total protein, and lactate did not change. Exposure resulted with increased levels of malondialdehyde (MDA) only in hepatopancreas. However, results of gill FOX assay showed a significant decrease in oxidative stress parameters (P<0.05). MDA levels of gill and abdominal muscle tissues and FOX levels of hepatopancreas and abdominal muscle tissues did not change when compared to the control group. Significant histopathological alterations were observed both in hepatopancreas (multifocal deformations in tubule lumen) and gill tissue (melanisation of gill lamella). Exposure of crayfish even to a sublethal concentration of 2,4-D alters histopathology and lipid peroxidation due to stress. Biomarkers studied here seem to be useful for the assessment of adverse/toxic effects of pesticides on non-target, indicator aquatic organisms.2,4-D je fenoksi herbicid koji se upotrebljava diljem svijeta, a potencijalno je toksičan za ljude i biotu. Cilj ovoga istraživanja bio je ispitati kratkoročne subletalne učinke herbicida 2,4-D na slatkovodnog uskoškarog raka (Astacus leptodactylus Eschscholtz, 1823) proučavanjem histoloških promjena, ukupnog broja hemocita, odabranih hemolitičkih parametara i parametara oksidacijskoga stresa. Jedinke slatkovodnog raka izložene su u laboratorijskim uvjetima koncentraciji od 9 mg L-1 herbicida 2,4-D tijekom sedam dana. Eksperimenti su izvedeni u polustatičkim uvjetima u 20-litarskim akvarijima. U svakom akvariju držano je 10 jedinki rakova, podijeljenih u skupinu koja je bila izložena herbicidu i u kontrolnu skupinu, a eksperiment je ponovljen tri puta. Tijekom eksperimenata nisu zabilježene nikakve promjene u stopi smrtnosti ili u ponašanju životinja. Ukupan se broj hemocita značajno smanjio, a razine glukoze u hemolimfi povećale (P<0,05) u usporedbi s kontrolnom skupinom. Razine kalcija, klorida, kalija, magnezija, ukupnog proteina i laktata u hemolimfi nisu se promijenile. Izlaganje herbicidu povisilo je razine malondialdehida (MDA) u hepatopankreasu. Međutim, rezultati FOX-testa na škrgama pokazali su značajno smanjenje parametara oksidacijskoga stresa (P<0,05), za razliku od razina MDA izmjerenih FOX-testom u škrgama i abdominalnom mišićnom tkivu te u hepatopankreasu, koje se nisu promijenile. Uočene su značajne histopatološke promjene u tkivu hepatopankreasa (multifokalne deformacije tubularnog lumena) i škrga (melanizacija škržnih listića). Izlaganje rakova subletalnoj koncentraciji herbicida 2,4-D izazvalo je histopatološke promjene te potaknulo lipidnu peroksidaciju zbog stresa. Čini se da su biomarkeri koji su promatrani u ovom ispitivanju korisni za procjenu neželjenih učinaka pesticida na neciljne vodene indikatorske organizme

Care Priorities and Critical Nursing Interventions in Patients with COVID-19: Four Different Case Reports

2019 koronavirüs hastalığı (COVID-19) yeni bir solunum yolu hastalığıdır ve salgın süreci dünyada yüz binlerce insanı etkilemiştir. Pandemik hale gelen bu süreçte tüm dünyada olduğu gibi Türkiye’de de hemşireler topluma nitelikli ve güvenli sağlık hizmeti sunmak için ön saflarda görev almaktadır. Bu olağanüstü koşullarda büyük çaba ile COVID-19 tanılı hastalara bakım veren hemşirelerin, hastayı bütüncül olarak değerlendirebilmeleri gerekmektedir. Ayrıca hemşirelik girişimlerini planlayabilmeleri için de etkili hemşirelik bakımına yönelik yol haritaları sunmanın önemli olduğu bir gerçektir. Bu bağlamda bu çalışmada COVID-19 tanısı almış dört ayrı olgu, her bir vakaya özgü hemşirelik tanıları doğrultusunda bakım öncelikleri ve kritik hemşirelik girişimleri ile sunulmuşturThe coronavirus disease 2019 (COVID-19) is a new respiratory disease, and as a pandemic has affected hundreds of thousands of people all around the world. In Turkey, as well as all over the world, nurses are on the front lines to provide qualified and safe healthcare services to the society. In these extraordinary conditions, nurses who care for patients diagnosed with COVID-19 should be able to evaluate the patient as a whole. It is also a fact that it is important to provide road maps for effective nursing care so that they can plan nursing interventions. In this context, four different cases diagnosed with COVID-19, their care priorities, and critical nursing interventions are presented in line with the nursing diagnoses specific to each case

Prevalence of Orthodontic Malocclusion and Evaluation Criteria in 7 Geographic Regions of Turkey

Objective:The aim of this study was to identify the prevalence of malocclusion and orthodontic evaluation criteria in Turkey and determine differences among the 7 regions.Materials and Method:In our research, extra- and intraoral examination of 1023 randomly selected persons from rural and central parts of different regions (500 female subjects and 523 male subjects; mean age = 13.10 ± 3.11) were performed. To analyze the data, descriptive statistical methods (mean value, prevalence ratio, standard deviation) were carried out. The significance of regional differences of the evaluation criteria and gender distributions were assessed by means of a χ2 test.Results:Comparison of the classification of malocclusion, crossbite, chin deviation asymmetry, smile line, cleft lip and palate, and profile among the regions showed significant differences (p 0.05).Conclusion:Malocclusion and all orthodontic evaluation criteria except midline diastema (p < 0.05) and openbite (p < 0.01) demonstrated statistically significant differences among the 7 regions of Turkey. As a result, we suggest that the distribution of orthodontic anomalies in the different geographic areas should be examined separately to give a more accurate picture of the actual occurrence rate and, therefore, contribute to the development of targeted health policies

Total and Interregional Differences of the Need for Orthodontic Treatment in Turkey: Epidemiologic Surveillance Analysis

Objective:The aim of this study was to identify the need for orthodontic treatment in Turkey and the differences between the 7 geographic regions.Materials and Methods:In the orthodontic part of the survey, extraoral and intraoral examination of 1023 randomly selected individuals (500 female and 523 male, mean ages 13.10±3.11 years) was performed. The need of orthodontic treatment was evaluated with the aesthetic component (AC) and dental health component (DHC) of the Index of Orthodontic Treatment Need (IOTN). To analyze the data, descriptive statistical methods (mean value, prevalence ratio, and standard deviation) were performed. The significance of regional IOTN differences and gender distributions were assessed by means of chi-square test.Results:No statistically significant differences were found in gender distribution in the total and different regional samples (p>0.05). According to the DHC, 28.7% did not need orthodontic treatment, 16.3% were borderline cases, and 55.0% had severe need for orthodontic therapy. Little or no need for treatment was found in 91.8% of the study group according to the AC. Significant interregional differences were determined by DHC (p<0.01). The treatment need was greatest in the Southeastern Anatolia region (72.6%) and least in the Marmara region (34.1%).Conclusions:Orthodontic treatment need was significantly different between the geographic regions in Turkey. The need for orthodontic treatment was high in the total sample; nevertheless, the lack of awareness of the need for treatment was a worrisome finding