Annelerin sezaryen olma nedenleri ile doğum sonrası sağlık kuruluşlarına başvurma durumları

Annelerin sezaryen olma nedenleri ile doğum sonrası sağlık kuruluşlarına başvurma durumları Çalışma, annelerin sezaryen olma nedenleri ile doğum sonrası sağlık kuruluşlarına başvurma durumlarını belirlemek amacı ile tanımlayıcı ve prospektif olarak 21.11.2007-04.06.2008 tarihleri arasında Giresun’da bir hastanede gerçekleştirilmiştir. Çalışmaya örneklem kriterlerine uyan 164 primipar anne alınmıştır. Veri toplanmasında araştırmacı tarafından hazırlanan 2 anket formu kullanılmıştır. Verilerin analizinde Pearson Ki-kare, McNemar testi kullanılmıştır. Çalışma kapsamındaki annelerin %52.4’ü (20-24) yaş grubundadır. Annelerin %89.6’sı gebeliklerinde 4 ve üzeri sağlık kontrolüne gitmiştir. Annelerin eğitim durumları ile prenatal izlem sayısı arasında anlamlı bir fark bulunmuştur(p<0.05). Annelerin sezaryen gerekçeleri tıbbi gereklilik(%59.7), kişisel tercih(%30.5), doktor istemi(%9.8) şeklindedir. Annelerin %56.7’si hastaneden taburcu olurken eğitim almamış ve %68.9’u evde sağlık personeli tarafından ziyaret edilmemiştir. Anneler sezaryen sonrası 30 gün içerisinde en fazla meme ucunda çatlak(%56.7), ağlama, uyuyamama, sinirlilik(%53), içe kapanma, alınganlık, yalnızlık hissi(%51.8), emzirememe nedeniyle mamaya başlama(%32.3) sorunları yaşamışlardır. %82’si bu sorunlarla 7 gün içinde sağlık kuruluşuna başvurmuş; meme ile ilgili (%80.7) enfeksiyon( %14.8) anemi/baş ağrısı/doğum sonu depresyon(%4.5) tanılarıyla %5.5’inin tekrar hastaneye yatışı yapılmıştır. Hastaneye aynı nedenlerle geri dönüşler olumsuz kalite göstergesi olup; yüksek maliyet, anne ve bebek iletişimin bozulması, aileye verilen sorumluluğun artması gibi sorunlara yol açmaktadır. Kadın doğum hemşireleri bu sorunların önlenmesine yardımcı olmalı ve anneleri normal doğuma hazırlamalıdır. Sezaryen kararı da tıbbi bir endikasyon olmadıkça verilmemeli tüm riskler göz önünde bulundurulmalıdır. Anahtar Kelimeler: Sağlık Kuruluşuna Geri Dönüş, Sezaryen, Sezaryen Olma Nedeni. SUMMARY Mothers’ reasons for cesarean section and their aplication status to the health centers in the postpartum period(after birth). The aim of research that determine to reasons mothers who give birth by caesarean and consult health centers after birth. It was planned as descriptive and prospective. This study is between 21.11.2007-04.06.2008 at hospital in Giresun. 164 primipara mother were taken to the research’s sample. Two questionnaire form which prepared by the researcher, used when data collected. Pearson Ki-kare, McNemar tests was used in data analysis. 52,4% of women who are in working space, is between 20-24 years old. 89,6% of women have medical checkup 4 and more times during their pregnancy. Significant difference was found between the educational status and the prenatal follow of women(p<0.05). The reasons of cesarean section are 59,7% of women is medical reasons, 30,5% is individual choice, 9,8% is doctor’s choice. 56,7% of women who didn’t have any education during the hospital and 68,9% of women didn’t visited by the medical personel at home. Women consult to the hospitals in 30 days after cesarean section by these problems; fissure of the nipples (56,7%), crying, sleeplessness, aggressiveness (53%), adducent, sensibility, breakoff phenomenon (51,8%), lack of breast-feeding and started additional food (32,3%). Most of the women (76,2%) consult to the hospitals in seven days and the diagnosis are related the breasts (80,7%), enfection (14,8%), anaemia, headache, after-birth depression (4,5%). 5,5% of these women rehospitalization. Back to the hospital causes a negative quality indicator, higher cost, the mother and baby communication impairment, increasing the responsibilities given to family. While making cesarean section desicion all the risks must be consider. Key words: Cesarean, Reason cesarean section, rehospitalization

Hubungan kepuasan kerja dengan prestasi kerja di kalangan pekerja-pekerja Perbadanan Kemajuan Perusahaan Kayu Sarawak (PUSAKA), Kuching, Sarawak

The purpose of this styudy was to determine job satisfaction factors among workers of the Sarawak Timber Industry Development Corporation (STIDC), Kuching, Sarawak and their relationships with job performance. Ten demographic characteristics: gender, age, martial, training related job, job experience, how to come to work, number of children, and total monthly income were selected for study. The job satisfaction factors of this study were work situation, pay, promotion, supervisor, co-workers, and fringe benefits. Job performance was seen from aspects of attending work, working on time, job discipline, quality of output and willing ness to work after overtime

An integrated marketing communications campaign for 1740 Coffee Genesis

Coffee has always been part of various cultures, including Filipino culture. Coffee became a commodity in the 1800s during its first wave. Later on, coffee was appreciated more while consumers tend to want more quality coffee. With the improvement in the quality of coffee, its price also rose. This is the second wave of coffee culture which happened in the 1970s when Starbucks and other commercial coffee shops started growing. Years after, another culture developed whereby people became more interested in the origin of the coffee, how it was processed and brewed. Traceability of coffee, the skills of the barista, and fair-trade coffee became of high importance during the third wave of the coffee culture. With the Filipinos being a coffee-drinking nation, they also became a fad of third wave coffee culture, especially the millennials. This phenomenon became an opportunity for many coffee lovers and entrepreneurs to supply the demand for quality coffee, specifically specialty coffee. 1740 Coffee Genesis is among the specialty coffee shops that belong to the third wave of coffee culture, while focusing on specialty local coffee, and helping local coffee farmers through selling their coffee and looking for potential customers for them to help them sustain their livelihood. Although many of the coffee shop goers would purchase locally and ethically-sourced coffee like that of 1740 Coffee Genesis’, there is a challenge for 1740 Coffee Genesis to reach more of their target market due to minimal marketing efforts. Hence, this integrated marketing communications campaign is created to help the brand increase its brand awareness, and to increase its overall sales. The marketing strategy proposals were based on the Awareness, Interest, Desire, and Action (AIDA) Model as well as in the Inbound Marketing Model (Attract, Engage, and Delight) that will guide the target market on each step of the consumer journey. Given this, multiple media platforms that are relevant to the target market will be used for this campaign

Effect of Patient Follow-Up System on the Treatment Compliance of Osteoporotic Patients and on Quality of Life

Objective: Osteoporosis is a chronic disease that can take a long time to treat and is an important public health issue since it increases the risk of fractures and it has negative effects on quality of life with its social, psychological, economic and physical dimensions. It was aimed to evaluate the effect of patient follow-up program on drug compliance and quality of life. Materials and Methods: This study included 233 patients diagnosed with osteoporosis and the study was continued with 200 patients (173 females with postmenopausal osteoporosis, 27 males with senile osteoporosis). Patients were divided into 3 groups as daily, weekly and monthly follow-up groups. Patients were called by telephone with the help of patient follow-up program. Monthly Medication Possession Ratio (MPR) was calculated. Qualeffo-41 quality of life data were assessed at baseline, at the 3rd and 6th months. Results: From the baseline within 6 months, MPR levels were significantly increased in all groups (p<0.05). Monthly follow-up group was found the most compatible group compared to others. Significant changes in quality of life were observed (p<0.05). Conclusions: Dose intervals, especially long dose interval regimens and patient drug reminder programs are highly effective on compliance and quality of life would be better as the compliance increases. It should be bear in mind that if treatment incompliance occurs it may lead to medical harms and economical losses. (Turkish Journal of Osteoporosis 2014;20: 46-50

Forensics and the GSM mobile telephone system Abstract

The GSM system has become the most popular system for mobile communication in the world. Criminals commonly use GSM phones, and it is therefore a need for forensic investigators to understand which evidence can be obtained from the GSM system. This paper briefly explains the basics of the GSM system. Evidence items that can be obtained from the Mobile Equipment, the SIM and the core network are explored. Tools to extract such evidence from the components of the system exist, but there is a need to develop more sound forensic procedures and tools for extracting such evidence. The paper concludes with a short presentation on the future UMTS system, which largely builds on the design of GSM. With GSM, systems for mobile communication reached a global scale. In the western world, it seems everyone has their own mobile phone, and GSM has taken more and more of the market. GSM allows users to roam seamlessly between networks, and separate the user identity from the phone equipment. In addition the GSM system provides the functional basi

Are erectile functions affected by AB0 blood group?

WOS: 000406053400006PubMed: 28073191Aim: The aim of this study was to investigate whether there is a relationship between erectile dysfunction (ED), thought to be a vascular disease, and AB0 blood group. Material and Method: The study included 350 people abiding by the study criteria who applied to our clinic from April 2012-April 2015. The patients were divided into two groups including those with ED (Group 1) and those without (Group 2). Age, blood group, IIEF-5 score and presence of additional diseases were recorded. Erectile functions were analyzed according to blood group. Results: There was no difference between the mean age of 111 patients with ED and that of 239 patients without ED included in the study (p = 0.284). There was no difference between patients in the two groups in terms of smoking, alcohol use, hypertension and diabetes (p > 0.05). Among patients in the ED group, the mean IIEF-5 score according to blood group was 19.8 +/- 5.04 in the 0 blood group, 16.5 +/- 5.2 in the A blood group, 17.2 +/- 5.3 in the B blood group and 13.3 +/- 3.02 in the AB blood group. The IIEF-5 scores of individuals in the 0 blood group were significantly high compared to individuals in other blood groups (p = 0.004). Logistic regression analysis found that compared to the 0 blood group, the erectile dysfunction risk was 3.9 times greater for the A blood group, 3.5 times greater for the B blood group and 4.7 times greater for the AB blood group (p = 0.001) (Table 3). Conclusion: The risk of erectile dysfunction was significantly increased for individuals in the A, B and AB blood groups compared to individuals in the 0 blood group