Alcohol Consumption among Turkish Adolescents: A Test of General Strain Theory

The current study examined alcohol consumption among Turkish adolescents through the lens of Agnew’s General Strain Theory (GST) using data drawn from the 2008 Youth in Europe Survey. Although considerable attention has been paid to problematic alcohol consumption among adolescents, extant research has remained limited to western countries. Similarly, much of the support for GST was derived from research conducted in United States. The current study explores factors associated with alcohol consumption in Turkey and tests the generalizability of GST to countries with sociocultural and religious values differing from those in western countries. Results from ordinal logistic regression analyses indicate that school strain, economic strain, and peer strain were significantly associated with drinking behavior, while family strain was not associated with drinking behavior. Although students’ negative affective states were significantly associated with drinking behavior, they did not mediate the relationships between the strain variables and alcohol consumption as would be expected given the logic of GST. Implications for future research were discussed

A Comparative Analysis of Attitudes Toward Immigrants

The current study examined attitudes toward immigrants in four countries including the United States, China, South Africa, and Turkey, differing from each other by their economic development levels and past immigration experiences. Although considerable attention has been paid to public attitudes toward immigrants, extant research have remained limited to economic and cultural factors as potential determinants of public attitudes, and they have failed to widen the scope of the issue. Thus, they have ignored the role of countries' past immigration practices and effective immigration policies in shaping natives' perceptions of immigrants. The current study has added some unique and valuable findings to the literature on attitudes toward immigrants by revealing the distinctive impacts of countries' past immigration experiences and their immigration policies on natives' perceptions of immigrants. By using data drawn from the 2015 Global @dvisor Survey, the current study also provided up-to-date research outcomes on the topic

School truancy among Turkish high school students: A test of General Strain Theory

School absenteeism is a complicated problem with a variety of causes. It has been shown to be one of the main predictors of school drop-outs as well as leading to delinquency and criminal behavior in adulthood. This study examines the applicability of General Strain Theory on educational factors by considering truancy as a risk behavior. In this empirical study, we test the explanatory powers of certain kinds of strain, including school strain, economic deprivation, negative life events, anger, college plans, past victimization, and depression on students’ truancy. Data were drawn from the part of 2008 Youth in Europe Survey conducted in Istanbul in 2008. The sample consists of 2445 high school students. Results indicate that school strain, anger, and negative life events are significantly associated with likelihood of truancy while past victimization and economic strain have no effect. College goal and depression, on the other hand, have relatively weaker effects on students’ school absenteeism. Findings revealed that there is a relationship between cutting classes and certain kinds of strain among Turkish adolescents. The study also demonstrates that General Strain Theory is applicable for problematic behaviors in an educational context and generalizable to countries other than the U.S

EPIdemiology of Surgery-Associated Acute Kidney Injury (EPIS-AKI) : Study protocol for a multicentre, observational trial

More than 300 million surgical procedures are performed each year. Acute kidney injury (AKI) is a common complication after major surgery and is associated with adverse short-term and long-term outcomes. However, there is a large variation in the incidence of reported AKI rates. The establishment of an accurate epidemiology of surgery-associated AKI is important for healthcare policy, quality initiatives, clinical trials, as well as for improving guidelines. The objective of the Epidemiology of Surgery-associated Acute Kidney Injury (EPIS-AKI) trial is to prospectively evaluate the epidemiology of AKI after major surgery using the latest Kidney Disease: Improving Global Outcomes (KDIGO) consensus definition of AKI. EPIS-AKI is an international prospective, observational, multicentre cohort study including 10 000 patients undergoing major surgery who are subsequently admitted to the ICU or a similar high dependency unit. The primary endpoint is the incidence of AKI within 72 hours after surgery according to the KDIGO criteria. Secondary endpoints include use of renal replacement therapy (RRT), mortality during ICU and hospital stay, length of ICU and hospital stay and major adverse kidney events (combined endpoint consisting of persistent renal dysfunction, RRT and mortality) at day 90. Further, we will evaluate preoperative and intraoperative risk factors affecting the incidence of postoperative AKI. In an add-on analysis, we will assess urinary biomarkers for early detection of AKI. EPIS-AKI has been approved by the leading Ethics Committee of the Medical Council North Rhine-Westphalia, of the Westphalian Wilhelms-University Münster and the corresponding Ethics Committee at each participating site. Results will be disseminated widely and published in peer-reviewed journals, presented at conferences and used to design further AKI-related trials. Trial registration number NCT04165369

A Turning Point in the Life Course: A Comparative Analysis of Influences of Military Service on Mental Health and Deviance

Military service is an important school of training and one of the largest employers in the U.S., functioning as a major turning point in the lives of millions of American individuals. Whether serving in the military has a beneficial or a detrimental impact on individuals’ tendencies to engage in deviant behaviors has long been discussed and empirical studies have presented inconsistent results. In addition, research examining the interplay between military service, deviance, and mental health has generally focused on the service in a combat zone or during wartime and centered upon certain types of deviance and mental health problems. Addressing these limitations in previous research, this study intends to reveal: (1) trajectories of mental health and deviance from adolescence through adulthood among American individuals, (2) whether serving in the U.S. military in young adulthood moderates these trajectories, and (3) whether any of these relationships change by race, gender, and parental education. To achieve these objectives, it draws upon data from National Longitudinal Study of Adolescent to Adult Health (ADD Health) and utilizes multilevel growth curve modeling as the statistical strategy. The relationship between military service and deviance, on the other hand, may operate differently in a conscription military system in which military service is compulsory for a particular group of people (e.g. men). From this point of view, this study examines deviant behaviors and their mental health-related determinants among a sample of conscripts in Turkish Armed Forces. It utilizes a unique dataset from Mehmetcik Survey and uses multilevel negative binomial model as the statistical strategy. Results of the study revealed that military service resulted in a decline in rates of deviance among both Turkish and the U.S. sample, while it led to higher levels of psychological distress for the U.S. service-members. In addition, mental health problems and exposure to certain stressors during service were significant predictors of deviance among Turkish conscripts. Results of this dissertation suggest that, even though it may cause increasing rates of mental health problems, military service—in an AVF system as well as a conscription system—constitutes a beneficial turning point in an individual’s deviant career

A Monocephalus Diprosopus Fetus: Antenatal Sonographic Findings

Monocephalus Diprosopus is the rarest form of conjoined twins. The etiology of this anomaly is stil obscure. We herein report a monocephalus diprosopus case that was diagnosed in week 19 of pregnancy was presented due to its rarity and the significance of its prenatal diagnosis. Recommended a pregnancy termination since it does not have a definitive treatment today, prenatal diagnosis made for such fetuses at an early stage bears importance in terms of lowering the severity of psychological trauma. [Med-Science 2015; 4(4.000): 2928-32

Epidemiological characteristics, practice of ventilation, and clinical outcome in patients at risk of acute respiratory distress syndrome in intensive care units from 16 countries (PRoVENT): an international, multicentre, prospective study

Background Scant information exists about the epidemiological characteristics and outcome of patients in the intensive care unit (ICU) at risk of acute respiratory distress syndrome (ARDS) and how ventilation is managed in these individuals. We aimed to establish the epidemiological characteristics of patients at risk of ARDS, describe ventilation management in this population, and assess outcomes compared with people at no risk of ARDS. Methods PRoVENT (PRactice of VENTilation in critically ill patients without ARDS at onset of ventilation) is an international, multicentre, prospective study undertaken at 119 ICUs in 16 countries worldwide. All patients aged 18 years or older who were receiving mechanical ventilation in participating ICUs during a 1-week period between January, 2014, and January, 2015, were enrolled into the study. The Lung Injury Prediction Score (LIPS) was used to stratify risk of ARDS, with a score of 4 or higher defining those at risk of ARDS. The primary outcome was the proportion of patients at risk of ARDS. Secondary outcomes included ventilatory management (including tidal volume [VT] expressed as mL/kg predicted bodyweight [PBW], and positive end-expiratory pressure [PEEP] expressed as cm H2O), development of pulmonary complications, and clinical outcomes. The PRoVENT study is registered at ClinicalTrials.gov, NCT01868321. The study has been completed. Findings Of 3023 patients screened for the study, 935 individuals fulfilled the inclusion criteria. Of these critically ill patients, 282 were at risk of ARDS (30%, 95% CI 27\u201333), representing 0\ub714 cases per ICU bed over a 1-week period. VT was similar for patients at risk and not at risk of ARDS (median 7\ub76 mL/kg PBW [IQR 6\ub77\u20139\ub71] vs 7\ub79 mL/kg PBW [6\ub78\u20139\ub71]; p=0\ub7346). PEEP was higher in patients at risk of ARDS compared with those not at risk (median 6\ub70 cm H2O [IQR 5\ub70\u20138\ub70] vs 5\ub70 cm H2O [5\ub70\u20137\ub70]; p<0\ub70001). The prevalence of ARDS in patients at risk of ARDS was higher than in individuals not at risk of ARDS (19/260 [7%] vs 17/556 [3%]; p=0\ub7004). Compared with individuals not at risk of ARDS, patients at risk of ARDS had higher in-hospital mortality (86/543 [16%] vs 74/232 [32%]; p<0\ub70001), ICU mortality (62/533 [12%] vs 66/227 [29%]; p<0\ub70001), and 90-day mortality (109/653 [17%] vs 88/282 [31%]; p<0\ub70001). VT did not differ between patients who did and did not develop ARDS (p=0\ub7471 for those at risk of ARDS; p=0\ub7323 for those not at risk). Interpretation Around a third of patients receiving mechanical ventilation in the ICU were at risk of ARDS. Pulmonary complications occur frequently in patients at risk of ARDS and their clinical outcome is worse compared with those not at risk of ARDS. There is potential for improvement in the management of patients without ARDS. Further refinements are needed for prediction of ARDS

Epidemiological characteristics, practice of ventilation, and clinical outcome in patients at risk of acute respiratory distress syndrome in intensive care units from 16 countries (PRoVENT): an international, multicentre, prospective study

Background Scant information exists about the epidemiological characteristics and outcome of patients in the intensive care unit (ICU) at risk of acute respiratory distress syndrome (ARDS) and how ventilation is managed in these individuals. We aimed to establish the epidemiological characteristics of patients at risk of ARDS, describe ventilation management in this population, and assess outcomes compared with people at no risk of ARDS. Methods PRoVENT (PRactice of VENTilation in critically ill patients without ARDS at onset of ventilation) is an international, multicentre, prospective study undertaken at 119 ICUs in 16 countries worldwide. All patients aged 18 years or older who were receiving mechanical ventilation in participating ICUs during a 1-week period between January, 2014, and January, 2015, were enrolled into the study. The Lung Injury Prediction Score (LIPS) was used to stratify risk of ARDS, with a score of 4 or higher defining those at risk of ARDS. The primary outcome was the proportion of patients at risk of ARDS. Secondary outcomes included ventilatory management (including tidal volume [VT] expressed as mL/kg predicted bodyweight [PBW], and positive end-expiratory pressure [PEEP] expressed as cm H2O), development of pulmonary complications, and clinical outcomes. The PRoVENT study is registered at ClinicalTrials.gov, NCT01868321. The study has been completed. Findings Of 3023 patients screened for the study, 935 individuals fulfilled the inclusion criteria. Of these critically ill patients, 282 were at risk of ARDS (30%, 95% CI 27–33), representing 0·14 cases per ICU bed over a 1-week period. VT was similar for patients at risk and not at risk of ARDS (median 7·6 mL/kg PBW [IQR 6·7–9·1] vs 7·9 mL/kg PBW [6·8–9·1]; p=0·346). PEEP was higher in patients at risk of ARDS compared with those not at risk (median 6·0 cm H2O [IQR 5·0–8·0] vs 5·0 cm H2O [5·0–7·0]; p<0·0001). The prevalence of ARDS in patients at risk of ARDS was higher than in individuals not at risk of ARDS (19/260 [7%] vs 17/556 [3%]; p=0·004). Compared with individuals not at risk of ARDS, patients at risk of ARDS had higher in-hospital mortality (86/543 [16%] vs 74/232 [32%]; p<0·0001), ICU mortality (62/533 [12%] vs 66/227 [29%]; p<0·0001), and 90-day mortality (109/653 [17%] vs 88/282 [31%]; p<0·0001). VT did not differ between patients who did and did not develop ARDS (p=0·471 for those at risk of ARDS; p=0·323 for those not at risk). Interpretation Around a third of patients receiving mechanical ventilation in the ICU were at risk of ARDS. Pulmonary complications occur frequently in patients at risk of ARDS and their clinical outcome is worse compared with those not at risk of ARDS. There is potential for improvement in the management of patients without ARDS. Further refinements are needed for prediction of ARDS